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Robotic paraesophageal hernia repair: a single-center experience and systematic review
- Source :
- Journal of Robotic Surgery. 12:81-86
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- Robotic Surgery is becoming increasingly used in general surgery. The objective of this study is to evaluate the safety, effectiveness and short-term (less than 1 year) outcomes of Robotic Paraesophageal Hernia (RPEH) Surgery using the DaVinci Surgical Robot system (Intuitive Surgical, CA) in a large community hospital. This is a retrospective cohort study of 28 consecutive patients who underwent robotic paraesophageal hernia repair January 2011-March 2013 in this institution. Data and outcomes collected for analysis include patient demographics, operating times, conversion, complications, mortality and recurrence. The mean age of the patients was 68.7 +/- 12.7 years, 82% were females and the mean BMI was 29 +/- 6.3. The mean operative time, including the robot docking time, was 83.6 + 24 min. The average length of hospital stay (LOS) was 2.8 +/- 1.9 days. There were no conversions to open or laparoscopic procedures. Postoperative complications were noted in 3 patients (10.7%), including one mortality (3.4%). One symptomatic recurrence (3.4%) was noted during the 12-month follow-up period. Robotic Paraesophageal repair is a safe (similar rate of complication and mortality to literature for laparoscopic procedure) and an effective (paraeshopageal hernia repaired without high recurrence) procedure with acceptable complication rates even in older patients with high operative risks.
- Subjects :
- Adult
Male
medicine.medical_specialty
Paraesophageal
medicine.medical_treatment
Operative Time
Health Informatics
030230 surgery
Single Center
Young Adult
03 medical and health sciences
0302 clinical medicine
Robotic Surgical Procedures
Recurrence
Humans
Medicine
Robotic surgery
Hernia
Herniorrhaphy
Aged
Retrospective Studies
Aged, 80 and over
business.industry
General surgery
Retrospective cohort study
Length of Stay
Middle Aged
Surgical Mesh
Hernia repair
medicine.disease
Community hospital
Surgery
Hernia, Hiatal
030220 oncology & carcinogenesis
Female
Laparoscopy
business
Complication
Subjects
Details
- ISSN :
- 18632491 and 18632483
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- Journal of Robotic Surgery
- Accession number :
- edsair.doi.dedup.....254b2601b08d3e2e0e795973500ca5f9