Totally robotic fundoplication for the treatment of gastroesophageal reflux in 21 cases
10.3760/cma.j.cn113855-20240419-00289
- VernacularTitle:完全机器人胃底折叠术21例的临床应用分析
- Author:
Peng LI
1
;
Ziwen WEI
;
Rujuan WANG
;
Chunli ZOU
;
Yongyi XIE
;
Xiaoyu LIU
;
Dingwei LU
;
Honglin YI
;
Weishan XU
;
Ruhong LI
Author Information
1. 昆明医科大学附属延安医院普外二科, 昆明 650051
- Keywords:
Gastroesophageal reflux;
Fundoplication;
Robot;
Hernia, hiatal
- From:
Chinese Journal of General Surgery
2024;39(6):444-449
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and effectiveness for the treatment of totally robotic fundoplication.Methods:A retrospective analysis was conducted on the clinical data of 21 patients with gastroesophageal reflux disease (GERD) who underwent unassisted totally robotic fundoplication at the Second Department of General Surgery, Yan'an Hospital Affiliated to Kunming Medical University from Aug 2023 to Jan 2024. The postoperative outcomes were evaluated using SF-36, GERD-Q, and NRS scoring indicators.Results:All 21 patients successfully underwent the surgery. The robotic surgery time was (99±41) minutes, with precise intraoperative anatomy and insignificant blood loss of (1.7±1.4) ml. There were no intraoperative or postoperative complications, and no conversions to open surgery . Postoperative recovery of bowel function was rapid (11.71±3.33) hours, with minimal postoperative pain (NRS score of 1.67±0.48).The postoperative hospital stay was short (3.86±2.90) days, and patient satisfaction was high, SF-36 score of (80.90±1.14);The symptoms of reflux after surgery was significantly reduced.Postoperative GERD-Q score of (4.38±1.69) significantly lower than the preoperative score of (13.90±2.07).Conclusion:Totally robotic fundoplication provides clear view of intraoperative anatomical structures, rapid postoperative recovery, minimal pain, and effective anti-reflux outcomes.
