Format

Send to

Choose Destination
See comment in PubMed Commons below
Eur Surg Res. 2009;43(2):198-203. doi: 10.1159/000223751. Epub 2009 Jun 10.

Intraoperative and postoperative outcome of robot-assisted and traditional laparoscopic Nissen fundoplication.

Author information

  • 1Department of General, Vascular, Minimally Invasive and Robotic Surgery, San Matteo degli Infermi Hospital, ASL 3 dell'Umbria, Spoleto, Italy. g.cecca2003@libero.it

Abstract

BACKGROUND:

Robotics has been proposed as a tool to improve laparoscopic Nissen fundoplication. However, a clear benefit of this technology for minimally invasive antireflux surgery has not been demonstrated.

MATERIALS AND METHODS:

A retrospective review of a prospective database was used to compare the intraoperative and postoperative outcome of 137 patients who underwent conventional laparoscopic fundoplication (CLF) and 45 patients who underwent laparoscopic robot-assisted fundoplication (LRF). Intraoperative outcome measures were: operative time, blood loss and complications. Length of hospital stay, functional results and patient satisfaction were used to compare postoperative outcome.

RESULTS:

Operative time was significantly shorter in the LRF group (65 min) compared to the CLF group (85 min) (p < 0.0001). The overall complication rate was comparable between the two techniques, even though a higher incidence of liver tears was encountered in the CLF group (p < 0.05). Hospital stay, symptom relief and patient satisfaction did not differ between the groups.

CONCLUSION:

Robotics improves surgeon dexterity and maneuverability during laparoscopic Nissen fundoplication, but this does not correspond to a better postoperative outcome. LRF should be used only for complex cases and training.

PMID:
19521090
DOI:
10.1159/000223751
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for S. Karger AG, Basel, Switzerland
    Loading ...
    Support Center