Robotic-assisted paraesophageal hernia repair—a case–control study

Abstract

The results show that RAS is feasible and safe. It appears to be an alternative to OS due to lower intraoperative blood loss and potentially fewer postoperative complications, as well as shorter hospital stay. Though, RAS is not superior to CLS.

Robotic Repair of Giant Paraesophageal Hernias

“…This is comparable with the complication rate with the laparoscopic approach that is reported in the literature (between 6% and >20%). 26,27 In addition, our series reported a mean surgical time of 184.5 minutes; this is similar to that reported by Gehrig et al 23 in their robotic experience (172 minutes). Moreover, our surgical time compared with laparoscopic surgery was similar to some large series.…”

“…Braumann et al 21 included 14 robotic PEH repairs, and Draaisma et al 22 presented their experience with 40 consecutive robotic cases. Finally, one other experience was reported recently: in a comparative study Gehrig et al 23 reported a series of 12 robotic PEH repairs and compared such cases with their laparoscopic and open experience. They mentioned that the robotic approach was superior to the open approach but similar to the laparoscopic approach.…”

Robotic giant hiatal hernia repair: 3 year prospective evaluation and review of the literature

“…They showed a mean operative time of 134 min, a 10% conversion rate, a 12.5% postoperative morbidity rate and a 9.4% rate of reoperation for late recurrence. On the contrary, in a recent case–control study, Gehrig et al suggested that there are no advantages of the da Vinci Si System over conventional laparoscopy in terms of the operative time, surgical complications and hospitalization. They compared 12 patients who underwent para‐oesophageal HH repair using a robot with 17 and 13 patients who underwent conventional laparoscopic and open repair, respectively.…”

Robotic technological aids in esophageal surgery

“…No long-term follow-up are available. Gehrig et al (13) conducted a case-control study comparing 12 patients operated with the aid of the robot and 17 patients undergoing laparoscopic hiatal hernia repair. No advantages were found in operative time, intraoperative complications and early postoperative course.…”