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- Title
ROBOT-ASSISTED MINIMALLY INVASIVE TRANSTHORACIC FUNDOPLICATION FOR HIATAL HERNIA - A NOVEL APPROACH.
- Authors
Ivanov, Ivoslav; Mitev, Dimo; Filipov, Rumen
- Abstract
Robotic-assisted surgery allows surgeons to achieve great results with the benefits provided by the robot, mainly the enhanced vision and precise movements of instruments. This changed the concept of some of the operating techniques already established in the field. We present two cases of hiatal hernia repair with the da Vinci X system using the Belsey-Mark IV technique. The literature review shows that the robotic system is being used mainly for other types of hiatal hernia surgery and that for the Belsey technique a modified transabdominal approach is popular. Our patients underwent robot-asisted transthoracic operations with good postoperative results. Although challenging the robot-assisted minimally invasive transthoracic fundoplication for type 1 hiatal hernia proved to be applicable with good short-term results, no early complications, fast recovery, and minimal postoperative stay. Further studies and randomized controlled trials are necessary to test the non-inferiority of the method to transabdominal laparoscopic and robot-assisted approaches.
- Subjects
HIATAL hernia; MEDICAL robotics; HERNIA surgery; LAPAROSCOPIC surgery; FUNDOPLICATION
- Publication
Knowledge: International Journal, 2023, Vol 56, Issue 3, p251
- ISSN
2545-4439
- Publication type
Article