Comparing Outcomes of Robotic-Assisted versus Conventional Laparoscopic Hiatal Hernia Repair

Authors

  • Marcus Tjeerdsma, M.D. University of Kansas School of Medicine-Wichita
  • Karson Quinn, M.A. University of Kansas School of Medicine-Wichita
  • Stephen D. Helmer, Ph.D. University of Kansas School of Medicine-Wichita https://orcid.org/0000-0002-8760-7950
  • Kyle B. Vincent, M.D. University of Kansas School of Medicine-Wichita

DOI:

https://doi.org/10.17161/kjm.vol15.18248

Keywords:

gastroesophageal reflux disease (GERD), hiatal hernia, robotic, laparoscopic, postoperative complications, length of stay

Abstract

Introduction. Robotic-assisted laparoscopic surgery for anti-reflux and hiatal hernia surgery is becoming increasingly prevalent. The purpose of this study was to compare hospital length of stay and outcomes of robotic-assisted versus conventional laparoscopic hiatal hernia repair.

Methods. A retrospective review was conducted of 58 patients who underwent robotic-assisted laparoscopic (n = 42, 72.4%) or conventional laparoscopic (n = 16, 27.6%) hiatal hernia repair.

Results. Patient characteristics and comorbidities were similar between groups. The robotic-assisted group had a significantly higher use of fundoplication (81.3% vs. 38.1%; p = 0.007). Complications observed between the robotic-assisted and conventional laparoscopic groups were pneumothorax (6.3% vs. 11.9%, p = 1.000), infection (0% vs. 4.8%, p = 1.000), perforation (0% vs. 2.4%, P=1.000), bleeding (6.3% vs. 2.4%, p = 0.479), ICU admission (31.3% vs. 11.9%, p = 0.119), and mechanical ventilation (18.8% vs. 2.4%, p = 0.60). There were no reported complications of dysphagia, DVT/PE, MI, or death in either group. Hospital length of stay was similar for robotic vs conventional patients (3.0 vs. 2.5 days, p = 0.301).

Conclusions. This study’s data showed robotic-assisted hiatal hernia repair has comparable outcomes to conventional laparoscopic repair.

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Published

2022-10-24

How to Cite

Tjeerdsma, M., Quinn, K., Helmer, S., & Vincent, K. (2022). Comparing Outcomes of Robotic-Assisted versus Conventional Laparoscopic Hiatal Hernia Repair. Kansas Journal of Medicine, 15(3), 365–368. https://doi.org/10.17161/kjm.vol15.18248

Issue

Section

Original Research