Tjeerdsma Marcus, Quinn Karson R, Helmer Stephen D, Vincent Kyle B
Department of Surgery, University of Kansas School of Medicine-Wichita, Wichita, KS.
Kans J Med. 2022 Oct 24;15(3):365-368. doi: 10.17161/kjm.vol15.18248. eCollection 2022.
Robotic-assisted laparoscopic surgery for anti-reflux and hiatal hernia surgery is becoming increasingly prevalent. The purpose of this study was to compare hospital length of stay and outcomes of robotic-assisted versus conventional laparoscopic hiatal hernia repair.
A retrospective review was conducted of 58 patients who underwent robotic-assisted laparoscopic (n = 16, 27.6%) or conventional laparoscopic (n = 42, 72.4%) hiatal hernia repair.
Patient characteristics and comorbidities were similar between groups. The robotic-assisted group had a significantly higher use of fundoplication (81.3% vs. 38.1%; p = 0.007). Complications observed between the robotic-assisted and conventional laparoscopic groups were pneumothorax (6.3% vs. 11.9%; p = 1.000), infection (0% vs. 4.8%; p = 1.000), perforation (0% vs. 2.4%; p = 1.000), bleeding (6.3% vs. 2.4%; p = 0.479), ICU admission (31.3% vs. 11.9%; p = 0.119), and mechanical ventilation (18.8% vs. 2.4%; p = 0.60). There were no reported complications of dysphagia, deep vein thrombosis/pulmonary embolus, myocardial infarction, or death in either group. Hospital length of stay was similar for robotic versus conventional patients (3.0 vs. 2.5 days; p = 0.301).
Robotic-assisted versus conventional laparoscopic hiatal hernia were compared, which demonstrated similar post-operative complication rates and hospital length of stay. The results showed robotic-assisted or conventional laparoscopic hiatal hernia repair can be performed with similar outcomes.
机器人辅助腹腔镜抗反流和食管裂孔疝手术正变得越来越普遍。本研究的目的是比较机器人辅助与传统腹腔镜食管裂孔疝修补术的住院时间和手术结果。
对58例行机器人辅助腹腔镜（n = 16，27.6%）或传统腹腔镜（n = 42，72.4%）食管裂孔疝修补术的患者进行回顾性研究。
两组患者的特征和合并症相似。机器人辅助组胃底折叠术的使用率显著更高（81.3%对38.1%；p = 0.007）。机器人辅助组与传统腹腔镜组观察到的并发症有气胸（6.3%对11.9%；p = 1.000）、感染（0%对4.8%；p = 1.000）、穿孔（0%对2.4%；p = 1.000）、出血（6.3%对2.4%；p = 0.479）、入住重症监护病房（31.3%对11.9%；p = 0.119）和机械通气（18.8%对2.4%；p = 0.60）。两组均未报告吞咽困难、深静脉血栓形成/肺栓塞、心肌梗死或死亡等并发症。机器人辅助组与传统组患者的住院时间相似（3.0天对2.5天；p = 0.301）。
比较了机器人辅助与传统腹腔镜食管裂孔疝修补术，结果显示术后并发症发生率和住院时间相似。结果表明，机器人辅助或传统腹腔镜食管裂孔疝修补术的手术效果相似。
