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Komarov R.N.

Sechenov First Moscow State Medical University

Osminin S.V.

Sechenov First Moscow State Medical University

Vetshev F.P.

Sechenov First Moscow State Medical University

Egorov A.V.

Sechenov First Moscow State Medical University

Bilyalov I.R.

Sechenov First Moscow State Medical University

Robot-assisted and laparoscopic surgery in patients with cardiofundal and subtotal hiatal hernias: short-term results

Authors:

Komarov R.N., Osminin S.V., Vetshev F.P., Egorov A.V., Bilyalov I.R.

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Journal: Endoscopic Surgery. 2022;28(2): 16‑23

DOI: 10.17116/endoskop20222802116

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To cite this article:

Komarov RN, Osminin SV, Vetshev FP, Egorov AV, Bilyalov IR. Robot-assisted and laparoscopic surgery in patients with cardiofundal and subtotal hiatal hernias: short-term results. Endoscopic Surgery. 2022;28(2):16‑23. (In Russ.)
https://doi.org/10.17116/endoskop20222802116

Подписка 2025 (Endoscopic Surgery)
МСФ на ЯМ
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ABSRACT

OBJECTIVE

Aim. To compare the short-term outcomes of robot-assisted total (360-degree) fundoplication (RAF) and laparoscopic total (360-degree) fundoplication (LF) in patients with Type III and Type IV of hiatal hernias (HH).

MATERIAL AND METHODS

Data for 64 patients who underwent antireflux surgery for HH at our hospital between January 2015 and February 2021 were retrospectively analyzed. There were 32 patients with Type III and Type IV HH in each group (RAF and LF). All patients underwent a total (360 degree) fundoplication. Outcome measures such as mean operation time, blood loss, duration of hospital stay, and postoperative complications were analyzed.

RESULTS

Operation time was shorter in the RAF group (125±6.6 min versus 153.2±8 min; p=0.009). Mean blood loss was similar in the two groups (RAF — 19±2 ml; LF — 23±3.2 ml; p=0.264). The rate of postoperative complications in the RAF group and LF group were 9% and 15% respectively (p=0.450). Our results showed that the robot-assisted fundoplication was associated with a shorter hospital stay (7.8±0.38 days versus 9.7±0.49 days; p=0.003). There were no conversions in the two groups. One patient in the LF group required a second operation due to the migration of the stomach into the posterior mediastinum.

CONCLUSION

Safety and short-term efficacy seem comparable between RAF and LF in patients with cardiofundal and subtotal hiatal hernias. The RAF was associated with a shorter operation time and hospital stay.

Keywords:

robot-assisted fundoplication
da Vinci robotic surgical complex
laparoscopic fundoplication
hiatal hernia

Authors:

Komarov R.N.

Sechenov First Moscow State Medical University

Osminin S.V.

Sechenov First Moscow State Medical University

Vetshev F.P.

Sechenov First Moscow State Medical University

Egorov A.V.

Sechenov First Moscow State Medical University

Bilyalov I.R.

Sechenov First Moscow State Medical University

Received:

24.11.2021

Accepted:

21.12.2021

List of references:

  1. El-Serag HB, Sweet S, Winchester CC, Dent J. Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review. Gut. 2014;63(6):871-880.  https://doi.org/10.1136/gutjnl-2012-304269
  2. Grintcov AG, Ishenko RV, Sovpel IV, Sovpel OV, Shapovalova JA. Hiatal hernia repair with Toupet fundoplication in surgical treatment of hiatal hernia, complicated by gastroesophageal reflux disease. Klinicheskayta praktika. 2019;10(3):5-12. (In Russ.). https://doi.org/10.17816/clinpract1035-12
  3. Vovk EI, Sediakina LV, Shamuilova MM, Nosova AV, Kurdgieva SS, Vertkin AL. Gastroesophageal reflux disease in the practice of the therapist of the polyclinic: terra incognita. Consilium Medicum. 2020;22(8):9-26. (In Russ.). https://doi.org/10.26442/20751753.2020.8.200317
  4. Ivashkin VT, Mayev IV, Trukhmanov AS, Baranskaya YK, Dronova OB, Zayratyants OV, Sayfutdinov RG, Sheptulin AA, Lapina TL, Pirogov SS, Kucheryavy YuA, Storonova OA, Andreyev DN. Diagnostics and treatment of gastroesophageal reflux disease: clinical guidelines of the Russian gastroenterological association. Rossiiskii zhurnal gastroenterologii, gepatologii, koloproktologii. 2017;27(4):75-95. (In Russ.). https://doi.org/10.22416/1382-4376-2017-27-4-75-95
  5. Puchkov KV, Filimonov VB. Gryzhi pishchevodnogo otverstiya diafragmy. M.: Medpraktika-M; 2003. (In Russ.).
  6. Nicholas Stylopoulos, David W Rattner. The history of hiatal hernia surgery: from Bowditch to laparoscopy. Ann Surg. 2005;241(1):185-193.  https://doi.org/10.1097/01.sla.0000149430.83220.7f
  7. Dallemagne B, Weerts JM, Jeahes C, Markiewicz S. Results of laparoscopic Nissen fundoplication. Hepatogastroenterology. 1998;45(23):1338-1343.
  8. Melvin WS, Needleman BJ, Krause KR, Schneider C, Ellison EC. Computer-Enhanced vs. Standard Laparoscopic Antireflux Surg. 2002;6(1):11-16.  https://doi.org/10.1016/s1091-255x(01)00032-4
  9. Markar SR, Karthikesalingam AP, Hagen ME, Talamini M, Horgan S., Wagner OJ. Robotic vs. laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease: systematic review and meta-analysis. Int J Med Robot. 2010;6(2):125-131.  https://doi.org/10.1002/rcs.309
  10. Soliman BG, Nguyen DT, Chan EY, Chihara RK, Meisenbach LM, Graviss EA, Kim MP. Robot-assisted hiatal hernia repair demonstrates favorable short-term outcomes compared to laparoscopic hiatal hernia repair. Surg Endosc. 2020;34(6):2495-2502. https://doi.org/10.1007/s00464-019-07055-8
  11. O’Connor SC, Mallard M, Desai SS, Couto F, Gottlieb M, Ewing A, Cobb WS, Carbonell AM, Warren JA. Robotic Versus Laparoscopic Approach to Hiatal Hernia Repair: Results After 7 Years of Robotic Experience. Am Surg. 2020;86(9):1083-1087. https://doi.org/10.1177/0003134820943547
  12. Semenyakin IV, Lutsevich OE, Galliamov EA, et al. A comparative analysis of the laparoscopic and robot-assisted laparoscopic fundoplication for the hiatal hernia. Moskovskii khirurgicheskii zhurnal. 2019;4:54-59. (In Russ.). https://doi.org/10.17238/issn2072-3180.2019.4.54-59
  13. Berelavichus SV, Kriger AG, Titova NL, Smirnov AV, Poliakov IS, Kaldarov AR, Son AI. Cost price of robot-assisted and laparoscopic operations. Khirurgiya. 2015;4:31-34. (In Russ.). https://doi.org/10.17116/hirurgia2015431-34
  14. Vetshev FP, Chernousov AF, Osminin SV, Khorobryh TV, Chesarev AA. Robot-assisted surgery in patients with gianthiatal hernia. Endoscopicheskaya khirurgiya. 2019;25(1):5-11. (In Russ.). https://doi.org/10.17116/endoskop2019250115

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