ReviewWorld journal of emergency surgery : WJES2020
Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review.
Review in World journal of emergency surgery : WJES, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Robotic-assisted surgery for acute abdominal emergencies: a systematic review of 1142 cases.Journal of robotic surgery · 2025Pooled it
- Robotic operations in urgent general surgery: a systematic review.Journal of robotic surgery · 2023Pooled it
- Robotic surgery in emergency setting: 2021 WSES position paper.World journal of emergency surgery : WJES · 2022Pooled it
- Robotic Surgery in Acute Care: A Systematic Review of Its Role in Visceral Trauma and Emergency General Surgery.Cureus · 2026Review
- The Importance of Gastropexy in Minimally Invasive Hiatal Hernia Repair.Life (Basel, Switzerland) · 2026Article
- Artificial intelligence and robotic surgery in emergency gastrointestinal procedures: a review of current evidence and future directions.Journal of robotic surgery · 2026Review
- Machine learning-based multicenter prediction of postoperative sepsis in emergency colon cancer: role of surgical approach and inflammatory markers.Frontiers in oncology · 2026Article
- Case Report: Robotic-assisted laparoscopic primary repair for pancreaticoduodenal grade V injury in a pediatric patient.Frontiers in pediatrics · 2026Article
- The Implementation of Robotics in the Setting of Hiatal Hernia Repair: A Scoping Review on Current Evidence.Cureus · 2025Review
- A standardized robot-assisted technique for giant paraesophageal hernia repair: the relationship between surgical details and low recurrence rate in long-term follow-up.Langenbeck's archives of surgery · 2025Observational
- Article
- Operative trends and clinical outcomes of open, laparoscopic and robotic approaches to hiatal and paraoesophageal hernias- a study of 1834 patients.Journal of robotic surgery · 2025Article
- Review
- Optimizing outcomes in paraesophageal hernia repair: a novel critical view.Surgical endoscopy · 2024Article
- Emergency robotic surgery: the experience of a single center and review of the literature.World journal of emergency surgery : WJES · 2024Review
- The role of RObotic surgery in EMergency setting (ROEM): protocol for a multicentre, observational, prospective international study on the use of robotic platform in emergency surgery.World journal of emergency surgery : WJES · 2024Observational
- Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma.Journal of personalized medicine · 2024Review
- Quantitative ultrasound (QUS) in the evaluation of liver steatosis: data reliability in different respiratory phases and body positions.La Radiologia medica · 2024Article
- RoboticHeliyon · 2024Article
- Evaluation of robot-assisted laparoscopic versus conventional laparoscopic hiatal hernia repair in children.Journal of robotic surgery · 2024Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGiant hiatal hernia (GHH) is a condition where one-third of the stomach migrates into the thorax. Nowadays, laparoscopic treatment gives excellent postoperative outcomes. Strangulated GHH is rare, and its emergent repair is associated with significant morbidity and mortality rates. We report a series of five cases of strangulated GHH treated by a minimally invasive laparoscopic and robot-assisted approach, together with a systematic review of the literature.
methodsDuring 10 years (December 2009-December 2019), 31 patients affected by GHH were treated by robot-assisted or conventional laparoscopic surgical approach. Among them, five cases were treated in an emergency setting. We performed a PubMed MEDLINE search about the minimally invasive emergent treatment of GHH, selecting 18 articles for review.
resultsThe five cases were male patients with a mean age of 70 ± 18 years. All patients referred to the emergency service complaining of severe abdominal and thoracic pain, nausea and vomiting. CT scan and endoscopy were the main diagnostic tools. All patients showed stable hemodynamic conditions so that they could undergo a minimally invasive attempt. The surgical approach was robotic-assisted in three patients (60%) and laparoscopic in two (40%). Patients reported no complications or recurrences.
conclusionReviewing current literature, no general recommendations are available about the emergent treatment of strangulated hiatal hernia. Acute mechanical outlet obstruction, ischemia of gastric wall or perforation and severe bleeding are the reasons for an emergent surgical indication. In stable conditions, a minimally invasive approach is often feasible. Moreover, the robot-assisted approach, allowing a stable 3D view and using articulated instruments, represents a reasonable option in challenging situations.
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