Short-term effects of Da Vinci robot Nissen fundoplication in the treatment of refractory gastroesophageal reflux disease
- VernacularTitle:达芬奇机器人 Nissen 胃底折叠术治疗难治性胃食管反流病的近期效果
- Author:
KANG Poming
1
;
TAO Shaolin
1
;
TAN Qunyou
1
;
JIANG Bin
1
;
WU Licheng
1
;
FANG Chunshu
1
;
LI Qingyuan
1
;
WANG Ruwen
1
Author Information
1. Department of Thoracic Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, P.R.China
- Publication Type:Journal Article
- Keywords:
Robot-assisted surgery;
refractory gastroesophageal reflux disease;
Nissen fundoplication;
efficacy
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(03):274-278
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the short-term effects of Da Vinci robot-assisted Nissen fundoplication in the treatment of refractory gastroesophageal reflux disease (rGERD), and to evaluate the safety and efficacy of its surgical treatment. Methods A total of 40 patients with rGERD treated by Da Vinci robot-assisted surgery from October 2016 to November 2019 in our hospital were collected. There were 23 males and 17 females at age of 34-76 (61±23) years. The related clinical data were retrospectively analyzed, and the operation skills of Da Vinci robot-assisted Nissen fundoplication with rGERD were summarized. Results There was no perioperative death or serious complication such as esophagogastric fistula. Postoperative reflux symptoms were significantly improved. DeMeester scores after surgery (39.79±35.01 points vs. 2.61±2.40 points, P=0.029), lower esophageal sphincter pressure (8.74±7.21 mm Hg vs. 24.56±8.76 mm Hg, P=0.020), integrated relaxation pressure (7.29±7.21 mm Hg vs. 16.49±9.99 mm Hg, P=0.023), distal contractile integral (600.49 ± 665.30 mm Hg·s·m vs. 510.99 ± 580.60 mm Hg·s·m, P=0.042), GERD-Q scale score (12.98±2.39 points vs. 7.59±1.11 points, P=0.033) were significantly improved compared with those before surgery. Postoperative dysphagia was found in 2 patients. And dysphagia was alleviated after diet adjustment and other treatments. Conclusion Da Vinci robot-assisted Nissen fundoplication is a safe and effective treatment for rGERD.
