Martínez CE, Moreno V, González J, Padilla F, Bracho E, Luján K, Solórzano JJ, Galeana F, Aguirre M, Kuri J

Language: Spanish
References: 12
Page: 434-438
PDF size: 200.19 Kb.

ABSTRACT

Introduction: the incidence of gastroesophageal reflux disease (GERD) in the Mexican population is high. Antireflux surgery is one of the main therapeutic options. Robotic surgery could represent a turning point in the successful management of GERD. However, there is insufficient evidence in the literature regarding the advantages and disadvantages of robotic re-fundoplication. The most recent reviews on this subject were published more than 10 years ago. During this time, both the learning curve and robotic surgical techniques have evolved, making it relevant to assess the current role of robotic surgery in complex procedures such as re-fundoplication. Material and methods: a retrospective comparison was conducted between patients who underwent laparoscopic re-fundoplication and those treated with robotic-assisted re-fundoplication. This was a descriptive, retrospective, and observational study. Results: operative time was significantly longer in the robotic group (mean difference 47 min, p = 0.014). No significant differences were found regarding postoperative pain, nausea, bleeding, or length of hospital stay. There were no cases of regurgitation, vomiting, or mortality. Conclusions: although no statistically significant differences were found between robotic and laparoscopic approaches in re-fundoplication, from the perspective of the experienced surgeon, robotic surgery provides superior technical capabilities to address the challenges inherent in such a complex procedure. The enhanced precision and range of motion offered by the robotic platform may facilitate a more effective resolution of intraoperative difficulties compared to conventional laparoscopy.

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