Objective To investigate the safety and therapeutic efficacy of robot-assisted esophageal hiatal hernia repair versus conventional laparoscopic esophageal hiatal hernia repair for type Ⅳ esophageal hiatal hernia.Methods The clinical data of 20 patients who underwent esophageal hiatal hernia repair from January 2020 to November 2023 at the Gastrointestinal Surgery Department 3 of Tianjin Nankai Hospital were retrospectively analyzed.They were divided into laparoscopic group(n=12)and robotic group(n=8)according to the surgical procedures.perioperative conditions,treatment outcomes and postoperative complications were compared between the two groups.Results In the robotic group,there were 8 patients,include 3 males and 5 females;in the laparoscopic group,there were 12 patients:4 males and 8 females;there were no significant differences between the two groups in terms of gender,age,and BMI.The preoperative gastroesophageal reflux disease questionnaire(GERD-Q)score in the robotic group is(10.00±3.38)and the postoperative score is(1.88±0.84),with a pre/post difference of(8.13±3.48).and for the laparoscopic group,the preoperative GERD-Q score was(9.50±3.50)and the postoperative score was 2(1,3),with a pre/post difference of(7.42±3.55),which showed no statistically significant difference in the comparisons.In terms of perioperative period,all surgical procedures were successfully completed,without conversion to laparotomy or change in operation mode.There was no statistical difference between the two groups in terms of operation time,intraoperative bleeding,postoperative hospitalization time,postoperative fluid feeding time,and postoperative ventilating time.And for postoperative complications,only one patient in the laparoscopic group was readmitted to the hospital for surgery one month after the operation due to dysphagia and hernia recurrence,while the rest of the patients did not experience recurrence during the one-year postoperative follow-up,and there was no statistical difference between the two groups in terms of postoperative complications.Conclusion Robot-assisted surgery for the treatment of type Ⅳ esophageal hiatal hernia is satisfactory in terms of safety and therapeutic efficacy,and has good prospects for future application.
关键词
达芬奇机器人/腹腔镜/Ⅳ型食管裂孔疝
Key words
Da Vinci robot surgical system/laparoscopy/type Ⅳ hiatal hernia of the esophagus
维普
万方数据