Original Article
Da-vinci robot-assisted surgery vs laparoscopic repair for the treatment of hiatal hernia repair
Chen Gang, Wang Ji, Ma Hongqin, Liu Li, Du Yusheng, Zhao Wenxing
Published 2023-07-25
Cite as Chin J Gen Surg, 2023, 38(7): 515-520. DOI: 10.3760/cma.j.cn113855-20230131-00039
Abstract
ObjectiveTo compare Da-vinci robotic surgical system with laparoscopic surgery for the repair of hiatal hernia.
MethodsThe 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.
ResultsPatients 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.
ConclusionDa-vinci robot-assisted repair of hiatal hernia is as safe and feasible as laparoscopic procedures, with less intraoperative trauma and quicker, earlier recovery.
Key words:
Hernia,hiatal; Surgical procedures,operative; Da-vinci robotic surgery; Laparoscopic surgery; Nissen fundoplication
Contributor Information
Chen Gang
Department of Hernia and Abdominal Wall Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China
Wang Ji
Department of Hernia and Abdominal Wall Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China
Ma Hongqin
Department of Hernia and Abdominal Wall Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China
Liu Li
Department of Hernia and Abdominal Wall Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China
Du Yusheng
Department of Hernia and Abdominal Wall Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China
Zhao Wenxing
Department of Hernia and Abdominal Wall Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China
