Int J Med Robot - A literature review of the outcomes after robot-assisted laparoscopic and conventional laparoscopic Nissen fundoplication for gastro-esophageal reflux disease in children.

Tópicos

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Resumo

CKGROUND: Robot-assisted surgery is a promising technical innovation. Given the similarities between laparoscopic and robot-assisted surgery it is unlikely that randomized controlled trials would be conducted to disclose any differences between these two technical instruments. Thus, skepticism remains due to lack of any definitive conclusions in the literature.AIMS: The aim of the study was to disclose any difference in outcome after robot-assisted (RNF) versus conventional laparoscopic (LNF) Nissen fundoplication for gastro-esophageal reflux disease in children.MATERIALS AND METHODS: A literature review was carried out. Only studies comparing the two modalities were included. Operative time, duration of hospital stay, 30 days morbidity, mortality, conversion, recurrence and complication rates were analyzed. Review Manager 5.1.6 software, from the Cochrane library, was used for statistical analysis.RESULTS: Three case series fulfilled the criteria for inclusion in this review. Data on 174 children were identified; 89 were operated on using the computer-assisted technology and 85 controls were operated on using the conventional laparoscopic technique. Data showed no significant difference between these two modalities.DISCUSSION: This literature review demonstrates no significant difference between patients operated on with robot-assisted surgery and those undergoing conventional laparoscopic surgery regarding the parameters studied.CONCLUSION: The robot-assisted Nissen fundoplication in children is a safe alternative to conventional laparoscopic surgery. No data support the need for case selection to one of these two minimally invasive procedures.

Resumo Limpo

ckground robotassist surgeri promis technic innov given similar laparoscop robotassist surgeri unlik random control trial conduct disclos differ two technic instrument thus skeptic remain due lack definit conclus literatureaim aim studi disclos differ outcom robotassist rnf versus convent laparoscop lnf nissen fundopl gastroesophag reflux diseas childrenmateri method literatur review carri studi compar two modal includ oper time durat hospit stay day morbid mortal convers recurr complic rate analyz review manag softwar cochran librari use statist analysisresult three case seri fulfil criteria inclus review data children identifi oper use computerassist technolog control oper use convent laparoscop techniqu data show signific differ two modalitiesdiscuss literatur review demonstr signific differ patient oper robotassist surgeri undergo convent laparoscop surgeri regard paramet studiedconclus robotassist nissen fundopl children safe altern convent laparoscop surgeri data support need case select one two minim invas procedur

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