Nissen Fundoplication, Robotic-assisted Versus Laparoscopic Procedure: A Comparative Study in Children

Abstract

RNF is a safe and feasible alternative to LNF. There were no significant differences in outcomes measured between groups. In view of the high cost of robotic devices, no clear benefits of using robotics in Nissen fundoplication were observed.

Laparoscopic versus robot-assisted Nissen fundoplication in an infant pig model

“…Recently, laparoscopic and robotic Nissen fundoplication was compared in a total of 50 children, also showing no difference in operative times, intra-and postoperative complications, analgesic requirements, length of stay, or impact on gastroesophageal reflux symptoms [30]. In another study, the robotic-assisted group required less morphine, and was discharged earlier.…”

Robotic Hiatal Hernia Repair

“…Single-incision surgery may prove to give an additional beneit to the use of robotics in surgery by providing steady threedimensional image and intuitive instrumentation through a single 2.5 cm incision. Results of robotic fundoplication have been promising from numerous studies [9][10][11][12][13][14][15]; but up to now, supporters failed to publish an evidence-based proof of its superiority versus existing laparoscopic techniques [16][17][18].…”

Laparoscopic Surgeries in Pediatric Abdominal Surgical Emergencies

“…Это основополагающий момент, который позволяет вначале предупредить, а затем быстро и безопасно ликвидиро-вать возникшее осложнение при лапароскопической операции. Частота осложнений во время выполнения лапароскопических манипуляций у детей колеблется от 4 до 5%, в большинстве случаев с ними получается справиться лапароскопически [61][62][63]. Причины ослож-нений могут быть обусловлены минимальным доступом по сравнению с открытыми оперативными вмешатель-ствами.…”

“…[61] сообщили о проведении фундопликации по Нильсону у 50 детей. Лапароскопические операции были проведены 25 паци-ентам, другим 25 -роботизированная фундоплика-ция.…”