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Robotic-assisted Heller Myotomy Is a Safe Operation.
- Source :
-
The Israel Medical Association journal : IMAJ [Isr Med Assoc J] 2021 Oct; Vol. 23 (10), pp. 631-634. - Publication Year :
- 2021
-
Abstract
- Background: Surgical myotomy is the best therapeutic option for patients with achalasia. The minimally invasive technique is considered to be the preferred method for many surgeons. Robotic-assisted laparoscopic myotomy has several advantages over conventional laparoscopic surgery. These benefits include more accurate incisions that may result in a lower rate of intra-operative complications.<br />Objectives: To describe our technique of performing robotic-assisted Heller myotomy and to review the initial results of this procedure.<br />Methods: All patients undergoing robotic-assisted Heller myotomy for achalasia between the years 2012-2018 at Rabin Medical Center were retrospectively reviewed from our institutional prospective database.<br />Results: Thirty patients underwent robotic-assisted Heller myotomy for achalasia. Mean operative time was 77 minutes (range 47-109 minutes) including docking time of the robotic system. There were no cases of conversion to laparoscopic or open surgery. There were no cases of intra-operative perforation of the mucosa. None of the patients had postoperative morbidity or mortality. Good postoperative results were achieved in 25 patients. Four patients required additional intervention (3 had endoscopic dilatations and 1 with known preoperative endstage achalasia had undergone esophagectomy). One patient was lost to follow-up.<br />Conclusions: Robotic-assisted Heller myotomy is a safe technique with a low incidence of intra-operative esophageal perforation compared to the laparoscopic approach. We believe that robotic-assisted surgery should be the procedure of choice to treat achalasia.
- Subjects :
- Female
Humans
Israel epidemiology
Male
Middle Aged
Minimally Invasive Surgical Procedures
Outcome and Process Assessment, Health Care
Reoperation methods
Reoperation statistics & numerical data
Retrospective Studies
Esophageal Achalasia diagnosis
Esophageal Achalasia epidemiology
Esophageal Achalasia surgery
Heller Myotomy adverse effects
Heller Myotomy methods
Operative Time
Postoperative Complications diagnosis
Postoperative Complications epidemiology
Postoperative Complications surgery
Robotic Surgical Procedures adverse effects
Robotic Surgical Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1565-1088
- Volume :
- 23
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- The Israel Medical Association journal : IMAJ
- Publication Type :
- Academic Journal
- Accession number :
- 34672444