Da-vinci robot-assisted surgery vs laparoscopic repair for the treatment of hiatal hernia repair
10.3760/cma.j.cn113855-20230131-00039
- VernacularTitle:达芬奇机器人辅助食管裂孔疝修补术的疗效研究
- Author:
Gang CHEN
1
;
Ji WANG
;
Hongqin MA
;
Li LIU
;
Yusheng DU
;
Wenxing ZHAO
Author Information
1. 徐州医科大学附属医院疝与腹壁外科，徐州 221002
- Keywords:
Hernia,hiatal;
Surgical procedures,operative;
Da-vinci robotic surgery;
Laparoscopic surgery;
Nissen fundoplication
- From:
Chinese Journal of General Surgery
2023;38(7):515-520
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare Da-vinci robotic surgical system with laparoscopic surgery for the repair of hiatal hernia.Methods:The clinical data of 115 patients undergoing minimally invasive Nissen fundoplication at the Department of Hernia and Abdominal Wall Surgery, the Affiliated Hospital,Xuzhou Medical University from Dec 2019 to May 2022 were retrospectively studied. After propensity score matching (PSM), 46 cases in each group were included:Robot-assisted surgery (RS group) and laparoscopic surgery (LS group). Postoperative complications were collected and GERD Questionnaire (GERDQ) were used as the standard in evaluation of the results.Results:Patients in RS group had less intraoperative bleeding ( P<0.001), shorter postoperative gastrointestinal recovery time ( P<0.001), and shorter postoperative hospital stay ( P=0.002). The LS group had a shorter operative time ( P<0.001) and lower total hospital cost ( P<0.001). GERD-Q scores decreased significantly in both groups at 3 and 6 months postoperatively compared with preoperative scores ( P<0.001). There was no statistically significant difference between the two groups in the incidence of postoperative complications ( P>0.05). No recurrence was seen in both groups during postoperative follow-up. Conclusion:Da-vinci robot-assisted repair of hiatal hernia is as safe and feasible as laparoscopic procedures, with less intraoperative trauma and quicker, earlier recovery.
