Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Ceccarelli, Graziano, Valeri, Manuel, Amato, Lavinia, De Rosa, Michele, Rondelli, Fabio, Cappuccio, Micaela, Gambale, Francesca Elvira, Fantozzi, Mariarita, Sciaudone, Guido, Avella, Pasquale, Rocca, Aldo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer London 2023
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
_version_ 1784899660000788480
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
work_keys_str_mv AT ceccarelligraziano roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT valerimanuel roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT amatolavinia roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT derosamichele roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT rondellifabio roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT cappucciomicaela roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT gambalefrancescaelvira roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT fantozzimariarita roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT sciaudoneguido roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT avellapasquale roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview
AT roccaaldo roboticrevisionsurgeryafterfailednissenantirefluxsurgeryasinglecenterexperienceandaliteraturereview