ArticleSurgical endoscopy2020
Robot-assisted hiatal hernia repair demonstrates favorable short-term outcomes compared to laparoscopic hiatal hernia repair.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 8 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 8 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Safety of robotic-assisted surgery in redo fundoplication: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Robotic-assisted versus laparoscopic esophageal hiatal hernia and anti-reflux surgery: A comprehensive systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Safety and efficacy of robotic versus laparoscopic hiatal hernia repair: a systematic review and meta-analysis of perioperative outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Robotic versus laparoscopic general surgery in the emergency setting: a systematic review.Journal of robotic surgery · 2024Pooled it
- Robotic surgery versus Laparoscopic surgery for anti-reflux and hiatal hernia surgery: a short-term outcomes and cost systematic literature review and meta-analysis.Langenbeck's archives of surgery · 2024Pooled it
- Robotic versus laparoscopic surgery for hiatal hernia repair: a systematic literature review and meta-analysis.Journal of robotic surgery · 2023Pooled it
- Robotic operations in urgent general surgery: a systematic review.Journal of robotic surgery · 2023Pooled it
- Robotic versus Laparoscopic Hiatal Hernia Repair in Elderly Patients.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Age is Just a Number: Outcomes of Robotic Hiatal Hernia Repair in Octogenarians.Annals of thoracic surgery short reports · 2026Article
- A retrospective comparative study comparing laparoscopic and robotic hiatal hernia repair: surgical outcomes, recurrence rate, and postoperative morbidity.Journal of robotic surgery · 2026Article
- Laparoscopic vs. robotic-assisted antireflux surgery: a matched cohort analysis of procedure costs and outcomes.Surgical endoscopy · 2026Article
- Robotic Surgical Repair of a Parahiatal Hernia: A Case Report.The American journal of case reports · 2026Article
- Short term safety and efficacy of robot-assisted laparoscopic redo hiatal hernia repair without mesh: a retrospective cohort study.Journal of thoracic disease · 2026Article
- Reflections on surgery for hiatal hernia.Updates in surgery · 2026Review
- The Implementation of Robotics in the Setting of Hiatal Hernia Repair: A Scoping Review on Current Evidence.Cureus · 2025Review
- Esophageal obstruction by mediastinal seroma after laparoscopic repair of a giant hiatal hernia: a case report.Journal of medical case reports · 2025Article
- Current pharmacological and procedural treatments for gastro-oesophageal reflux disease: comprehensive review.BJS open · 2025Review
- Learning curve for robotic-assisted hiatal hernia repair determined by cumulative analysis of adjusted operative times.Scientific reports · 2025Article
- Validation of the ACS-NSQIP surgical risk calculator for patients with paraoesophageal hernias undergoing robotic repair.Surgical endoscopy · 2025Article
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Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe postulated that the use of robotics may improve outcomes in hiatal hernia repair.
methodsWe performed a retrospective analysis of a prospectively collected Society of Thoracic Surgery database at a single institution of patients who underwent elective hiatal hernia repair from 2012 to 2017 using either laparoscopy or the da Vinci Xi robot. We compared patient characteristics and outcomes and then performed univariate and multivariate logistic regression modeling to determine the factors associated with postoperative morbidity.
resultsThere were 293 consecutive patients who underwent elective hiatal hernia repair using either a laparoscopic (n = 151) or a robotic (n = 142) technique. There were no significant differences in age, gender, BMI, smoking history, presence of comorbidity, or hiatal hernia type. Seventy percent of the cases were a repair of either type III or type IV hiatal hernia. There were significantly higher ASA III and IV (7.9% vs. 4.2%, P = 0.03), higher Toupet fundoplication (83.4% vs. 44.4%, P < 0.001), and lower redo-repair (7.3% vs. 20.4%, P = 0.001) in the laparoscopic group compared to the robotic group. The hospital length of stay was significantly shorter (1.3 ± 1.8 vs. 1.8 ± 1.5 days, P = 0.003) and there were significantly lower rates of complications (6.3 vs. 19.2%, P = 0.001) after robotic compared to laparoscopic hiatal hernia repair. There was no difference in readmission rate and mortality. Multiple logistic regression analysis showed that older age and laparoscopic technique were associated with higher complications after surgery.
conclusionThe use of the Da Vinci Xi robot in our institution was associated with improved outcomes compared to laparoscopic hiatal hernia repair despite a higher incidence of re-operative cases in the robotic group. Thus, short-term outcomes of Da Vinci Xi robot-assisted hiatal hernia repair are not inferior to laparoscopic hiatal hernia repair. Further studies are needed to determine if Da Vinci Xi robot provides superior short-term and long-term outcome in treatment of symptomatic hiatal hernia.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.