Early operative outcomes and learning curve of robotic assisted giant paraesophageal hernia repair Journal Article
| Authors: | Sarkaria, I. S.; Latif, M. J.; Bianco, V. J.; Bains, M. S.; Rusch, V. W.; Jones, D. R.; Rizk, N. P. |
| Article Title: | Early operative outcomes and learning curve of robotic assisted giant paraesophageal hernia repair |
| Abstract: | Background: We have previously described our technique of robotic-assisted giant paraesophageal hernia repair (RA-GPEHR). The purpose of this study was to report our initial experience, early outcomes and learning curve with RA-GPEHR using a four-arm robotic platform. Methods: 24 consecutive patients presenting with symptomatic giant paraesophageal hernias (GPEH) underwent RA-GPEHR from April 2011 to February 2014. Peri-operative data and short-term patient outcomes were assessed by retrospective review of a prospectively maintained database. Results: Median age was 62 years (range 44–84). 15 (63%) patients underwent fundoplication and 9 (37%) gastropexy. Median procedure time was 277 min (range: 185–485) and decreased steadily over the experience. There were no intra-operative complications or surgical mortality. No patients experienced dysphagia in the early post-operative period. Conclusions: RA-GPEHR is safe, with reported short-term operative and functional outcomes similar to conventional laparoscopic approaches. The initial learning curve appears relatively short for experienced minimally invasive esophageal surgeons. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd. |
| Keywords: | minimally invasive paraesophageal hernia repair; robotic assisted paraesophageal hernia repair; robotic thoracic surgery |
| Journal Title: | International Journal of Medical Robotics and Computer Assisted Surgery |
| Volume: | 13 |
| Issue: | 1 |
| ISSN: | 1478-5951 |
| Publisher: | Wiley-Blackwell |
| Date Published: | 2017-03-01 |
| Start Page: | e1730 |
| Language: | English |
| DOI: | 10.1002/rcs.1730 |
| PROVIDER: | scopus |
| PMCID: | PMC5182165 |
| PUBMED: | 26928955 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 4 April 2017 -- Source: Scopus |
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