Int J Med Robot - Robotic giant hiatal hernia repair: 3year prospective evaluation and review of the literature.

Tópicos

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Resumo

CKGROUND: While conventional laparoscopic repair for giant hiatal hernias is considered difficult, robotic technology is likely to result in an improved postoperative course.METHODS: We prospectively analysed patients with giant hiatal hernias who underwent robotic repair during a 3year period. Preoperative data, operative variables, complications, clinical outcomes and anatomical recurrence after 1year were evaluated.RESULTS: Six patients with giant hiatal hernias underwent robotic repair using the Da Vinci surgical system. The mean operative time was 182min. The mean hospital stay was 6days. No patients required reoperation for disease recurrence, and all claimed the absence of postoperative symptoms.CONCLUSIONS: Robotic approaches can minimize surgical trauma in patients with giant hiatal hernias and result in favourable outcomes in terms of anatomical recurrence and quality of life. With the availability of the da Vinci System, all patients with giant hiatal hernias can be offered a minimally invasive surgical option.

Resumo Limpo

ckground convent laparoscop repair giant hiatal hernia consid difficult robot technolog like result improv postop coursemethod prospect analys patient giant hiatal hernia underw robot repair year period preoper data oper variabl complic clinic outcom anatom recurr year evaluatedresult six patient giant hiatal hernia underw robot repair use da vinci surgic system mean oper time min mean hospit stay day patient requir reoper diseas recurr claim absenc postop symptomsconclus robot approach can minim surgic trauma patient giant hiatal hernia result favour outcom term anatom recurr qualiti life avail da vinci system patient giant hiatal hernia can offer minim invas surgic option

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