Robot-assisted hiatal hernia repair demonstrates favorable short-term outcomes compared to laparoscopic hiatal hernia repair

摘要: We postulated that the use of robotics may improve outcomes in hiatal hernia repair. performed a retrospective analysis prospectively collected Society Thoracic Surgery database at single institution patients who underwent elective repair from 2012 to 2017 using either laparoscopy or da Vinci Xi robot. compared patient characteristics and then univariate multivariate logistic regression modeling determine factors associated with postoperative morbidity. There were 293 consecutive laparoscopic (n = 151) robotic (n = 142) technique. no significant differences age, gender, BMI, smoking history, presence comorbidity, type. Seventy percent cases type III IV hernia. significantly higher ASA (7.9% vs. 4.2%, P = 0.03), Toupet fundoplication (83.4% 44.4%, P < 0.001), lower redo-repair (7.3% 20.4%, P = 0.001) group group. The hospital length stay was shorter (1.3 ± 1.8 1.8 ± 1.5 days, P = 0.003) there rates complications (6.3 19.2%, after difference readmission rate mortality. Multiple showed older age technique surgery. Da robot our improved despite incidence re-operative Thus, short-term robot-assisted are not inferior Further studies needed if provides superior long-term outcome treatment symptomatic