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
Notes: Article -- Export Date: 4 April 2017 -- Source: Scopus
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MSK Authors
  1. Valerie W Rusch
    638 Rusch
  2. Nabil Rizk
    131 Rizk
  3. Manjit S Bains
    219 Bains
  4. David Randolph Jones
    150 Jones