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Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review
BACKGROUND: The gastroesophageal reflux disease (GERD) worldwide prevalence is increasing maybe due to population aging and the obesity epidemic. Nissen fundoplication is the most common surgical procedure for GERD with a failure rate of approximately 20% which might require a redo surgery. The aim...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer London
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979125/ https://www.ncbi.nlm.nih.gov/pubmed/36862348 http://dx.doi.org/10.1007/s11701-023-01546-6 |
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author | Ceccarelli, Graziano Valeri, Manuel Amato, Lavinia De Rosa, Michele Rondelli, Fabio Cappuccio, Micaela Gambale, Francesca Elvira Fantozzi, Mariarita Sciaudone, Guido Avella, Pasquale Rocca, Aldo |
author_facet | Ceccarelli, Graziano Valeri, Manuel Amato, Lavinia De Rosa, Michele Rondelli, Fabio Cappuccio, Micaela Gambale, Francesca Elvira Fantozzi, Mariarita Sciaudone, Guido Avella, Pasquale Rocca, Aldo |
author_sort | Ceccarelli, Graziano |
collection | PubMed |
description | BACKGROUND: The gastroesophageal reflux disease (GERD) worldwide prevalence is increasing maybe due to population aging and the obesity epidemic. Nissen fundoplication is the most common surgical procedure for GERD with a failure rate of approximately 20% which might require a redo surgery. The aim of this study was to evaluate the short- and long-term outcomes of robotic redo procedures after anti-reflux surgery failure including a narrative review. METHODS: We reviewed our 15-year experience from 2005 to 2020 including 317 procedures, 306 for primary, and 11 for revisional surgery. RESULTS: Patients included in the redo series underwent primary Nissen fundoplication with a mean age of 57.6 years (range, 43–71). All procedures were minimally invasive and no conversion to open surgery was registered. The meshes were used in five (45.45%) patients. The mean operative time was 147 min (range, 110–225) and the mean hospital stay was 3.2 days (range, 2–7). At a mean follow-up of 78 months (range, 18–192), one patient suffered for persistent dysphagia and one for delayed gastric emptying. We had two (18.19%) Clavien–Dindo grade IIIa complications, consisting of postoperative pneumothoraxes treated with chest drainage. CONCLUSION: Redo anti-reflux surgery is indicated in selected patients and the robotic approach is safe when it is performed in specialized centers, considering its surgical technical difficulty. |
format | Online Article Text |
id | pubmed-9979125 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer London |
record_format | MEDLINE/PubMed |
spelling | pubmed-99791252023-03-02 Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review Ceccarelli, Graziano Valeri, Manuel Amato, Lavinia De Rosa, Michele Rondelli, Fabio Cappuccio, Micaela Gambale, Francesca Elvira Fantozzi, Mariarita Sciaudone, Guido Avella, Pasquale Rocca, Aldo J Robot Surg Research BACKGROUND: The gastroesophageal reflux disease (GERD) worldwide prevalence is increasing maybe due to population aging and the obesity epidemic. Nissen fundoplication is the most common surgical procedure for GERD with a failure rate of approximately 20% which might require a redo surgery. The aim of this study was to evaluate the short- and long-term outcomes of robotic redo procedures after anti-reflux surgery failure including a narrative review. METHODS: We reviewed our 15-year experience from 2005 to 2020 including 317 procedures, 306 for primary, and 11 for revisional surgery. RESULTS: Patients included in the redo series underwent primary Nissen fundoplication with a mean age of 57.6 years (range, 43–71). All procedures were minimally invasive and no conversion to open surgery was registered. The meshes were used in five (45.45%) patients. The mean operative time was 147 min (range, 110–225) and the mean hospital stay was 3.2 days (range, 2–7). At a mean follow-up of 78 months (range, 18–192), one patient suffered for persistent dysphagia and one for delayed gastric emptying. We had two (18.19%) Clavien–Dindo grade IIIa complications, consisting of postoperative pneumothoraxes treated with chest drainage. CONCLUSION: Redo anti-reflux surgery is indicated in selected patients and the robotic approach is safe when it is performed in specialized centers, considering its surgical technical difficulty. Springer London 2023-03-02 /pmc/articles/PMC9979125/ /pubmed/36862348 http://dx.doi.org/10.1007/s11701-023-01546-6 Text en © The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Research Ceccarelli, Graziano Valeri, Manuel Amato, Lavinia De Rosa, Michele Rondelli, Fabio Cappuccio, Micaela Gambale, Francesca Elvira Fantozzi, Mariarita Sciaudone, Guido Avella, Pasquale Rocca, Aldo Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review |
title | Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review |
title_full | Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review |
title_fullStr | Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review |
title_full_unstemmed | Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review |
title_short | Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review |
title_sort | robotic revision surgery after failed nissen anti-reflux surgery: a single center experience and a literature review |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979125/ https://www.ncbi.nlm.nih.gov/pubmed/36862348 http://dx.doi.org/10.1007/s11701-023-01546-6 |
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