Efficacy and safety of robot-assisted versus traditional laparoscopy in hiatal hernia repair: A systematic review and meta-analysis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Yaping ^1,2 , QUE Changhao ^1,2 , LI Keyong ^1,2 , YE Zhibo ^1,2 , JIN Dacheng ² ,  GOU Yunjiu ²

1. Gansu University of Chinese Medicine, Lanzhou, 730000, P. R. China;
2. Gansu Clinical Medical Research Center for Thoracic Diseases, Lanzhou, 730000, P. R. China;

Corresponding?author：

GOU Yunjiu, Email: gouyunjiu@163.com

Keywords：

Hiatal hernia; robot-assisted laparoscopic surgery; conventional laparoscopic surgery; systematic review/meta-analysis

DOI：

10.7507/1007-4848.202404014

Video：

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Objective To systematically evaluate the efficacy and safety of robot-assisted laparoscopic surgery (RAS) and conventional laparoscopic surgery (CLS) in hiatus hernia repair. Methods PubMed, The Cochrane Library, CNKI, Web of Science, VIP, and Wanfang databases were searched to collect literature comparing the efficacy and safety of RAS and CLS for hiatus hernia repair published from their inception to November 7, 2023. The Newcastle-Ottawa Scale (NOS) was used to evaluate the quality of the included studies, and RevMan 5.4.1 software was used for meta-analysis. Results A total of 15 retrospective cohort studies with 18239 patients were finally included. The NOS scores of the included literature were all≥7 points. Meta-analysis results showed that RAS was superior to CLS in terms of postoperative complications as the primary outcome [OR=0.56, 95%CI (0.42, 0.77), P<0.01]. There was no statistical difference between the two methods in terms of average operation time [MD=?0.74, 95%CI (?12.99, 11.51), P=0.91], average intraoperative blood loss [MD=?24.47, 95%CI (?54.80, 5.87), P=0.11], intraoperative complications [OR=0.76, 95%CI (0.29, 2.01), P=0.58], average postoperative hospital stay [MD=?0.24, 95%CI (?0.75, 0.27), P=0.36], postoperative GERD score [MD=?0.04, 95%CI (?0.41, 0.33), P=0.81], and 30-day readmission rate [OR=0.60, 95%CI (0.30, 1.20), P=0.15]. The cost of CLS surgery was less than that of RAS [SMD=1.59, 95%CI (1.16, 2.01), P<0.01]. Conclusion RAS has comparable efficacy and safety to CLS in hiatus hernia repair.

1.	Neo EL, Zingg U, Devitt PG, et al. Learning curve for laparoscopic repair of very large hiatal hernia. Surg Endosc, 2011, 25(6): 1775-1782.
2.	Morrow EH, Chen J, Patel R, et al. Watchful waiting versus elective repair for asymptomatic and minimally symptomatic paraesophageal hernias: A cost-effectiveness analysis. Am J Surg, 2018, 216(4): 760-763.
3.	McLaren PJ, Hart KD, Hunter JG, et al. Paraesophageal hernia repair outcomes using minimally invasive approaches. JAMA Surg, 2017, 152(12): 1176-1178.
4.	時占強, 張定, 馬超. 腹腔鏡食管裂孔疝修補聯合His角成形術治療胃食管反流病合并食管裂孔疝患者的效果. 醫學理論與實踐, 2023, 36(20): 3466-3468.Shi ZQ, Zhang D, Ma C. The effect of laparoscopic esophageal hiatus hernia repair combined with His angle plasty in the treatment of patients with gastroesophageal reflux disease complicated with esophageal hiatus hernia. J Med Theory Pract, 2023, 36(20): 3466-3468.
5.	O'Rourke RW, Khajanchee YS, Urbach DR, et al. Extended transmediastinal dissection: An alternative to gastroplasty for short esophagus. Arch Surg, 2003, 138(7): 735-740.
6.	Supe AN, Kulkarni GV, Supe PA. Ergonomics in laparoscopic surgery. J Minim Access Surg, 2010, 6(2): 31-36.
7.	Braumann C, Jacobi CA, Menenakos C, et al. Robotic-assisted laparoscopic and thoracoscopic surgery with the da Vinci system: A 4-year experience in a single institution. Surg Laparosc Endosc Percutan Tech, 2008, 18(3): 260-266.
8.	田文, 郗洪慶. 達芬奇機器人疝手術與發展趨勢. 中華普外科手術學雜志(電子版), 2017, 11(1): 5-7.Tian W, Xi HQ. The robotic surgery of hernia with the da Vinci system and its development trends. Chin J Oper Proced Gen Surg (Electron Ed), 2017, 11(1): 5-7.
9.	Joo J, Kim J, Lee J. Effect of continuous systemic administration of esmolol on intraocular pressure during surgery in a sustained steep trendelenburg position. J Glaucoma, 2017, 26(12): 1068-1071.
10.	Zhang Y, Han Y, Gan Q, et al. Early outcomes of robot-assisted versus thoracoscopic-assisted Ivor Lewis esophagectomy for esophageal cancer: A propensity score-matched study. Ann Surg Oncol, 2019, 26(5): 1284-1291.
11.	Elissavet S, Ioannis G, Panagiotis P, et al. Robotic-assisted versus laparoscopic paraesophageal hernia repair: A systematic review and meta-analysis. J Minim Invasive Surg, 2023, 26(3): 134-145.
12.	Ma L, Luo H, Kou S, et al. Robotic versus laparoscopic surgery for hiatal hernia repair: A systematic literature review and meta-analysis. J Robot Surg, 2023, 17(5): 1879-1890.
13.	Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
14.	朱萍. 達芬奇機器人輔助腹腔鏡與傳統腹腔鏡在食管裂孔疝修補術的療效分析. 南昌大學, 2020.Zhu P. Therapeutic effect analysis of da vinci robot-assisted laparoscopic and traditional laparoscopic hiatal hernia repair. Nanchang University, 2020.
15.	黎鑫, 艾克拜爾·艾力, 阿力木江·麥斯依提, 等. 機器人輔助袖狀胃切除聯合胃底折疊治療肥胖癥合并食管裂孔疝的單中心回顧性分析. 中國普通外科雜志, 2022, 31(10): 1347-1354.Li X, Aikebaier·AL, Alimujiang·MSYT, et al. A Single-center Retrospective Analysis of Robot-assisted Sleeve Gastrectomy Combined with Fundoplication for the Treatment of Obesity with Hiatal Hernia. Chin J Gen Surg, 2022, 31(10): 1347-1354.
16.	亞力坤·吐爾洪. 機器人輔助腹腔鏡與傳統腹腔鏡食管裂孔疝修補聯合Nissen胃底折疊術的對比研究. 新疆醫科大學, 2023.Yalikun·TEH. A comparative study of robot-assisted laparoscopic versus traditional laparoscopic esophageal hiatal hernia repair combined with Nissen fundoplication. Xinjiang Medical University, 2023.
17.	Wilhelm A, Nocera F, Schneider R, et al. Robot-assisted vs. laparoscopic repair of complete upside-down stomach hiatal hernia (the RATHER-study): A prospective comparative single center study. Surg Endosc, 2022, 36(1): 480-488.
18.	Tjeerdsma M, Quinn KR, Helmer SD, et al. Comparing outcomes of robotic-assisted versus conventional laparoscopic hiatal hernia repair. Kans J Med, 2022, 15: 365-368.
19.	麥麥提艾力·麥麥提明, 多力坤·牙生, 伊爾夏提江·艾尼瓦爾, 等. 機器人和腹腔鏡食管裂孔疝修補術短期臨床療效回顧性隊列研究. 中華外科雜志, 2023, 61(6): 498-502.Memetaili·MMTM, Duolikun·YS, Yierxiatijiang·ENWE, et al. Retrospective cohort study on short-term clinical outcomes of robot-assisted and laparoscopic hiatal hernia repair. Chin J Surg, 2023, 61(6): 498-502.
20.	Gerull WD, Cho D, Arefanian S, et al. Favorable peri-operative outcomes observed in paraesophageal hernia repair with robotic approach. Surg Endosc, 2021, 35(6): 3085-3089.
21.	Gehrig T, Mehrabi A, Fischer L, et al. Robotic-assisted paraesophageal hernia repair: A case-control study. Langenbecks Arch Surg, 2013, 398(5): 691-696.
22.	Soliman BG, Nguyen DT, Chan EY, et al. Robot-assisted hiatal hernia repair demonstrates favorable short-term outcomes compared to laparoscopic hiatal hernia repair. Surg Endosc, 2020, 34(6): 2495-2502.
23.	Benedix F, Adolf D, Peglow S, et al. Short-term outcome after robot-assisted hiatal hernia and anti-reflux surgery: Is there a benefit for the patient? Langenbecks Arch Surg, 2021, 406(5): 1387-1395.
24.	Howell RS, Liu HH, Petrone P, et al. Short-term outcomes in patients undergoing paraesophageal hiatal hernia repair. Sci Rep, 2020, 10(1): 7366.
25.	Hosein S, Carlson T, Flores L, et al. Minimally invasive approach to hiatal hernia repair is superior to open, even in the emergent setting: A large national database analysis. Surg Endosc, 2021, 35(1): 423-428.
26.	O'Connor SC, Mallard M, Desai SS, et al. Robotic versus laparoscopic approach to hiatal hernia repair: Results after 7 years of robotic experience. Am Surg, 2020, 86(9): 1083-1087.
27.	Lekarczyk A, Sinha H, Dvir D, et al. Similar hospital profits with robotic-assisted paraesophageal hiatal hernia repair, despite higher or supply costs. Surg Endosc, 2023, 37(5): 3952-3955.
28.	Kulshrestha S, Janjua HM, Bunn C, et al. State-level examination of clinical outcomes and costs for robotic and laparoscopic approach to diaphragmatic hernia repair. J Am Coll Surg, 2021, 233(1): 9-19.
29.	凌宏琛, 楊永彰, 常士民. 食管裂孔疝. 復旦學報(醫學版), 1964(4): 370-373, 386.Ling HC, Yang YZ, Chang SM. Hiatal hernia. Fudan Univ J Med Sci, 1964(4): 370-373, 386.
30.	田文, 郗洪慶, 衛勃, 等. 機器人輔助食管裂孔疝修補術及胃底折疊術2例報告及文獻復習. 中國實用外科雜志, 2015, 35(5): 519-521.Tian W, Xi HQ, Wei B, et al. Two case reports and literature review of robot-assisted hiatal hernia repair and fundoplication. Chin J Pract Surg, 2015, 35(5): 519-521.
31.	Banki F, Weaver M, Roife D, et al. Laparoscopic reoperative antireflux surgery is more cost-effective than open approach. J Am Coll Surg, 2017, 225(2): 235-242.
32.	Chan EG, Sarkaria IS, Luketich JD, et al. Laparoscopic approach to paraesophageal hernia repair. Thorac Surg Clin, 2019, 29(4): 395-403.
33.	周太成, 江志鵬, 李英儒, 等食管裂孔疝及胃食管反流性疾病腹腔鏡下規范化七步法手術操作指南(2021版). 嶺南現代臨床外科, 2021, 21(5): 500-506.Zhou TC, Jiang ZP, Li YR, et al. Laparoscopic standardized seven-step surgical operation guide for hiatal hernia and gastroesophageal reflux disease (2021 edition). Lingnan J Mod Clin Surg, 2021, 21(5): 500-506.
34.	食管裂孔疝焦點問題專家微共識第一次討論. 中華疝和腹壁外科雜志(電子版), 2021, 15(5): 447.First discussion on the expert microconsensus for focus issues of hiatal hernia. Chin J Hernia Abdom Wall Surg (Electron Ed), 2021, 15(5): 447.
35.	Zehetner J, Demeester SR, Ayazi S, et al. Laparoscopic versus open repair of paraesophageal hernia: The second decade. J Am Coll Surg, 2011, 212(5): 813-820.
36.	Laan DV, Agzarian J, Harmsen WS, et al. A comparison between Belsey Mark Ⅳ and laparoscopic Nissen fundoplication in patients with large paraesophageal hernia. J Thorac Cardiovasc Surg, 2018, 156(1): 418-428.
37.	Bhatt H, Wei B. Comparison of laparoscopic vs. robotic paraesophageal hernia repair: A systematic review. J Thorac Dis, 2023, 15(3): 1494-1502.
38.	Pelzner K, Mueller DT, Fuchs C, et al. Robot-assisted repair of hiatal hernia: Advantages and disadvantages in comparison to conventional laparoscopic repair: A literature review. Int J Abdom Wall Hernia Surg, 2023, 6(2): 77-80.
39.	Wang Z, Zheng Q, Jin Z. Meta-analysis of robot-assisted versus conventional laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease. ANZ J Surg, 2012, 82(3): 112-117.
40.	Nakadi IE, Mélot C, Closset J, et al. Evaluation of da Vinci Nissen fundoplication clinical results and cost minimization. World J Surg, 2006, 30(6): 1050-1054.
41.	Müller-Stich BP, Reiter MA, Wente MN, et al. Robot-assisted versus conventional laparoscopic fundoplication: Short-term outcome of a pilot randomized controlled trial. Surg Endosc, 2007, 21(10): 1800-1805.
42.	賈卓奇, 周維茹, 陳南征, 等. 達芬奇機器人食管裂孔疝修補術臨床療效分析. 中華胃食管反流病電子雜志, 2020, 7(2): 71-76.Jia ZQ, Zhou WR, Chen NZ, et al. Clinical effect analysis of da vinci robot-assisted hiatal hernia repair. Chin J Gastroesophag Reflux Dis (Electron Ed), 2020, 7(2): 71-76.
43.	Oelschlager BK, Pellegrini CA, Hunter JG, et al. Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: Long-term follow-up from a multicenter, prospective, randomized trial. J Am Coll Surg, 2011, 213(4): 461-468.
44.	Fei L, del Genio G, Rossetti G, et al. Hiatal hernia recurrence: surgical complication or disease? Electron microscope findings of the diaphragmatic pillars. J Gastrointest Surg, 2009, 13(3): 459-464.
45.	Herron DM, Marohn M. A consensus document on robotic surgery. Surg Endosc, 2008, 22(2): 313-325.
46.	Tartaglia N, Pavone G, Di Lascia A, et al. Robotic voluminous paraesophageal hernia repair: A case report and review of the literature. J Med Case Rep, 2020, 14(1): 25.
47.	Kirkpatrick T, Zimmerman B, LeBlanc K. Initial experience with robotic hernia repairs: A review of 150 cases. Surg Technol Int, 2018, 33: 139-147.
48.	Brenkman HJ, Parry K, van Hillegersberg R, et al. Robot-assisted laparoscopic hiatal hernia repair: Promising anatomical and functional results. J Laparoendosc Adv Surg Tech A, 2016, 26(6): 465-469.
49.	亞力坤·吐爾洪, 伊爾夏提江·艾尼瓦爾, 買買提·依斯熱依力, 等. 機器人在食管裂孔疝修補術中的應用研究進展與爭議. 腹腔鏡外科雜志, 2023, 28(1): 72-74,80.Yalikun·TEH, Yierxiatijiang·ENWE, Mamat·YSRYL, et al. Research progress and controversies in the application of robotics in hiatal hernia repair. J Laparosc Surg, 2023, 28(1): 72-74, 80.
50.	Shen C, Che G. Tubeless minimally invasive treatment: Taking a new step in enhanced recovery after surgery (ERAS). Thorac Cancer, 2019, 10(11): 2067-2070.
51.	洪子強, 茍文曦, 逯英杰, 等. 達芬奇機器人手術與胸腔鏡手術治療非小細胞肺癌的短期療效及成本分析. 中國胸心血管外科臨床雜志, 2024, 31(7): 974-979.Hong ZQ, Gou WX, Lu YJ, et al. Short-term efficacy and cost analysis of da vinci robotic surgery versus thoracoscopic surgery for the treatment of non-small cell lung cancer. Chin J Clin Thorac Cardiovasc Surg, 2024, 31(7): 974-979.
52.	El Chaar M, Gacke J, Ringold S, et al. Cost analysis of robotic sleeve gastrectomy (R-SG) compared with laparoscopic sleeve gastrectomy (L-SG) in a single academic center: Debunking a myth! Surg Obes Relat Dis, 2019, 15(5): 675-679.

1. Neo EL, Zingg U, Devitt PG, et al. Learning curve for laparoscopic repair of very large hiatal hernia. Surg Endosc, 2011, 25(6): 1775-1782.
2. Morrow EH, Chen J, Patel R, et al. Watchful waiting versus elective repair for asymptomatic and minimally symptomatic paraesophageal hernias: A cost-effectiveness analysis. Am J Surg, 2018, 216(4): 760-763.
3. McLaren PJ, Hart KD, Hunter JG, et al. Paraesophageal hernia repair outcomes using minimally invasive approaches. JAMA Surg, 2017, 152(12): 1176-1178.
4. 時占強, 張定, 馬超. 腹腔鏡食管裂孔疝修補聯合His角成形術治療胃食管反流病合并食管裂孔疝患者的效果. 醫學理論與實踐, 2023, 36(20): 3466-3468.Shi ZQ, Zhang D, Ma C. The effect of laparoscopic esophageal hiatus hernia repair combined with His angle plasty in the treatment of patients with gastroesophageal reflux disease complicated with esophageal hiatus hernia. J Med Theory Pract, 2023, 36(20): 3466-3468.
5. O'Rourke RW, Khajanchee YS, Urbach DR, et al. Extended transmediastinal dissection: An alternative to gastroplasty for short esophagus. Arch Surg, 2003, 138(7): 735-740.
6. Supe AN, Kulkarni GV, Supe PA. Ergonomics in laparoscopic surgery. J Minim Access Surg, 2010, 6(2): 31-36.
7. Braumann C, Jacobi CA, Menenakos C, et al. Robotic-assisted laparoscopic and thoracoscopic surgery with the da Vinci system: A 4-year experience in a single institution. Surg Laparosc Endosc Percutan Tech, 2008, 18(3): 260-266.
8. 田文, 郗洪慶. 達芬奇機器人疝手術與發展趨勢. 中華普外科手術學雜志(電子版), 2017, 11(1): 5-7.Tian W, Xi HQ. The robotic surgery of hernia with the da Vinci system and its development trends. Chin J Oper Proced Gen Surg (Electron Ed), 2017, 11(1): 5-7.
9. Joo J, Kim J, Lee J. Effect of continuous systemic administration of esmolol on intraocular pressure during surgery in a sustained steep trendelenburg position. J Glaucoma, 2017, 26(12): 1068-1071.
10. Zhang Y, Han Y, Gan Q, et al. Early outcomes of robot-assisted versus thoracoscopic-assisted Ivor Lewis esophagectomy for esophageal cancer: A propensity score-matched study. Ann Surg Oncol, 2019, 26(5): 1284-1291.
11. Elissavet S, Ioannis G, Panagiotis P, et al. Robotic-assisted versus laparoscopic paraesophageal hernia repair: A systematic review and meta-analysis. J Minim Invasive Surg, 2023, 26(3): 134-145.
12. Ma L, Luo H, Kou S, et al. Robotic versus laparoscopic surgery for hiatal hernia repair: A systematic literature review and meta-analysis. J Robot Surg, 2023, 17(5): 1879-1890.
13. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
14. 朱萍. 達芬奇機器人輔助腹腔鏡與傳統腹腔鏡在食管裂孔疝修補術的療效分析. 南昌大學, 2020.Zhu P. Therapeutic effect analysis of da vinci robot-assisted laparoscopic and traditional laparoscopic hiatal hernia repair. Nanchang University, 2020.
15. 黎鑫, 艾克拜爾·艾力, 阿力木江·麥斯依提, 等. 機器人輔助袖狀胃切除聯合胃底折疊治療肥胖癥合并食管裂孔疝的單中心回顧性分析. 中國普通外科雜志, 2022, 31(10): 1347-1354.Li X, Aikebaier·AL, Alimujiang·MSYT, et al. A Single-center Retrospective Analysis of Robot-assisted Sleeve Gastrectomy Combined with Fundoplication for the Treatment of Obesity with Hiatal Hernia. Chin J Gen Surg, 2022, 31(10): 1347-1354.
16. 亞力坤·吐爾洪. 機器人輔助腹腔鏡與傳統腹腔鏡食管裂孔疝修補聯合Nissen胃底折疊術的對比研究. 新疆醫科大學, 2023.Yalikun·TEH. A comparative study of robot-assisted laparoscopic versus traditional laparoscopic esophageal hiatal hernia repair combined with Nissen fundoplication. Xinjiang Medical University, 2023.
17. Wilhelm A, Nocera F, Schneider R, et al. Robot-assisted vs. laparoscopic repair of complete upside-down stomach hiatal hernia (the RATHER-study): A prospective comparative single center study. Surg Endosc, 2022, 36(1): 480-488.
18. Tjeerdsma M, Quinn KR, Helmer SD, et al. Comparing outcomes of robotic-assisted versus conventional laparoscopic hiatal hernia repair. Kans J Med, 2022, 15: 365-368.
19. 麥麥提艾力·麥麥提明, 多力坤·牙生, 伊爾夏提江·艾尼瓦爾, 等. 機器人和腹腔鏡食管裂孔疝修補術短期臨床療效回顧性隊列研究. 中華外科雜志, 2023, 61(6): 498-502.Memetaili·MMTM, Duolikun·YS, Yierxiatijiang·ENWE, et al. Retrospective cohort study on short-term clinical outcomes of robot-assisted and laparoscopic hiatal hernia repair. Chin J Surg, 2023, 61(6): 498-502.
20. Gerull WD, Cho D, Arefanian S, et al. Favorable peri-operative outcomes observed in paraesophageal hernia repair with robotic approach. Surg Endosc, 2021, 35(6): 3085-3089.
21. Gehrig T, Mehrabi A, Fischer L, et al. Robotic-assisted paraesophageal hernia repair: A case-control study. Langenbecks Arch Surg, 2013, 398(5): 691-696.
22. Soliman BG, Nguyen DT, Chan EY, et al. Robot-assisted hiatal hernia repair demonstrates favorable short-term outcomes compared to laparoscopic hiatal hernia repair. Surg Endosc, 2020, 34(6): 2495-2502.
23. Benedix F, Adolf D, Peglow S, et al. Short-term outcome after robot-assisted hiatal hernia and anti-reflux surgery: Is there a benefit for the patient? Langenbecks Arch Surg, 2021, 406(5): 1387-1395.
24. Howell RS, Liu HH, Petrone P, et al. Short-term outcomes in patients undergoing paraesophageal hiatal hernia repair. Sci Rep, 2020, 10(1): 7366.
25. Hosein S, Carlson T, Flores L, et al. Minimally invasive approach to hiatal hernia repair is superior to open, even in the emergent setting: A large national database analysis. Surg Endosc, 2021, 35(1): 423-428.
26. O'Connor SC, Mallard M, Desai SS, et al. Robotic versus laparoscopic approach to hiatal hernia repair: Results after 7 years of robotic experience. Am Surg, 2020, 86(9): 1083-1087.
27. Lekarczyk A, Sinha H, Dvir D, et al. Similar hospital profits with robotic-assisted paraesophageal hiatal hernia repair, despite higher or supply costs. Surg Endosc, 2023, 37(5): 3952-3955.
28. Kulshrestha S, Janjua HM, Bunn C, et al. State-level examination of clinical outcomes and costs for robotic and laparoscopic approach to diaphragmatic hernia repair. J Am Coll Surg, 2021, 233(1): 9-19.
29. 凌宏琛, 楊永彰, 常士民. 食管裂孔疝. 復旦學報(醫學版), 1964(4): 370-373, 386.Ling HC, Yang YZ, Chang SM. Hiatal hernia. Fudan Univ J Med Sci, 1964(4): 370-373, 386.
30. 田文, 郗洪慶, 衛勃, 等. 機器人輔助食管裂孔疝修補術及胃底折疊術2例報告及文獻復習. 中國實用外科雜志, 2015, 35(5): 519-521.Tian W, Xi HQ, Wei B, et al. Two case reports and literature review of robot-assisted hiatal hernia repair and fundoplication. Chin J Pract Surg, 2015, 35(5): 519-521.
31. Banki F, Weaver M, Roife D, et al. Laparoscopic reoperative antireflux surgery is more cost-effective than open approach. J Am Coll Surg, 2017, 225(2): 235-242.
32. Chan EG, Sarkaria IS, Luketich JD, et al. Laparoscopic approach to paraesophageal hernia repair. Thorac Surg Clin, 2019, 29(4): 395-403.
33. 周太成, 江志鵬, 李英儒, 等食管裂孔疝及胃食管反流性疾病腹腔鏡下規范化七步法手術操作指南(2021版). 嶺南現代臨床外科, 2021, 21(5): 500-506.Zhou TC, Jiang ZP, Li YR, et al. Laparoscopic standardized seven-step surgical operation guide for hiatal hernia and gastroesophageal reflux disease (2021 edition). Lingnan J Mod Clin Surg, 2021, 21(5): 500-506.
34. 食管裂孔疝焦點問題專家微共識第一次討論. 中華疝和腹壁外科雜志(電子版), 2021, 15(5): 447.First discussion on the expert microconsensus for focus issues of hiatal hernia. Chin J Hernia Abdom Wall Surg (Electron Ed), 2021, 15(5): 447.
35. Zehetner J, Demeester SR, Ayazi S, et al. Laparoscopic versus open repair of paraesophageal hernia: The second decade. J Am Coll Surg, 2011, 212(5): 813-820.
36. Laan DV, Agzarian J, Harmsen WS, et al. A comparison between Belsey Mark Ⅳ and laparoscopic Nissen fundoplication in patients with large paraesophageal hernia. J Thorac Cardiovasc Surg, 2018, 156(1): 418-428.
37. Bhatt H, Wei B. Comparison of laparoscopic vs. robotic paraesophageal hernia repair: A systematic review. J Thorac Dis, 2023, 15(3): 1494-1502.
38. Pelzner K, Mueller DT, Fuchs C, et al. Robot-assisted repair of hiatal hernia: Advantages and disadvantages in comparison to conventional laparoscopic repair: A literature review. Int J Abdom Wall Hernia Surg, 2023, 6(2): 77-80.
39. Wang Z, Zheng Q, Jin Z. Meta-analysis of robot-assisted versus conventional laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease. ANZ J Surg, 2012, 82(3): 112-117.
40. Nakadi IE, Mélot C, Closset J, et al. Evaluation of da Vinci Nissen fundoplication clinical results and cost minimization. World J Surg, 2006, 30(6): 1050-1054.
41. Müller-Stich BP, Reiter MA, Wente MN, et al. Robot-assisted versus conventional laparoscopic fundoplication: Short-term outcome of a pilot randomized controlled trial. Surg Endosc, 2007, 21(10): 1800-1805.
42. 賈卓奇, 周維茹, 陳南征, 等. 達芬奇機器人食管裂孔疝修補術臨床療效分析. 中華胃食管反流病電子雜志, 2020, 7(2): 71-76.Jia ZQ, Zhou WR, Chen NZ, et al. Clinical effect analysis of da vinci robot-assisted hiatal hernia repair. Chin J Gastroesophag Reflux Dis (Electron Ed), 2020, 7(2): 71-76.
43. Oelschlager BK, Pellegrini CA, Hunter JG, et al. Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: Long-term follow-up from a multicenter, prospective, randomized trial. J Am Coll Surg, 2011, 213(4): 461-468.
44. Fei L, del Genio G, Rossetti G, et al. Hiatal hernia recurrence: surgical complication or disease? Electron microscope findings of the diaphragmatic pillars. J Gastrointest Surg, 2009, 13(3): 459-464.
45. Herron DM, Marohn M. A consensus document on robotic surgery. Surg Endosc, 2008, 22(2): 313-325.
46. Tartaglia N, Pavone G, Di Lascia A, et al. Robotic voluminous paraesophageal hernia repair: A case report and review of the literature. J Med Case Rep, 2020, 14(1): 25.
47. Kirkpatrick T, Zimmerman B, LeBlanc K. Initial experience with robotic hernia repairs: A review of 150 cases. Surg Technol Int, 2018, 33: 139-147.
48. Brenkman HJ, Parry K, van Hillegersberg R, et al. Robot-assisted laparoscopic hiatal hernia repair: Promising anatomical and functional results. J Laparoendosc Adv Surg Tech A, 2016, 26(6): 465-469.
49. 亞力坤·吐爾洪, 伊爾夏提江·艾尼瓦爾, 買買提·依斯熱依力, 等. 機器人在食管裂孔疝修補術中的應用研究進展與爭議. 腹腔鏡外科雜志, 2023, 28(1): 72-74,80.Yalikun·TEH, Yierxiatijiang·ENWE, Mamat·YSRYL, et al. Research progress and controversies in the application of robotics in hiatal hernia repair. J Laparosc Surg, 2023, 28(1): 72-74, 80.
50. Shen C, Che G. Tubeless minimally invasive treatment: Taking a new step in enhanced recovery after surgery (ERAS). Thorac Cancer, 2019, 10(11): 2067-2070.
51. 洪子強, 茍文曦, 逯英杰, 等. 達芬奇機器人手術與胸腔鏡手術治療非小細胞肺癌的短期療效及成本分析. 中國胸心血管外科臨床雜志, 2024, 31(7): 974-979.Hong ZQ, Gou WX, Lu YJ, et al. Short-term efficacy and cost analysis of da vinci robotic surgery versus thoracoscopic surgery for the treatment of non-small cell lung cancer. Chin J Clin Thorac Cardiovasc Surg, 2024, 31(7): 974-979.
52. El Chaar M, Gacke J, Ringold S, et al. Cost analysis of robotic sleeve gastrectomy (R-SG) compared with laparoscopic sleeve gastrectomy (L-SG) in a single academic center: Debunking a myth! Surg Obes Relat Dis, 2019, 15(5): 675-679.

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Latest ArticlesEfficacy and safety of robot-assisted versus traditional laparoscopy in hiatal hernia repair: A systematic review and meta-analysis

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