ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2021
Complications Following Robotic Hiatal Hernia Repair Are Higher Compared to Laparoscopy.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled 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 versus laparoscopic surgery for hiatal hernia repair: a systematic literature review and meta-analysis.Journal of robotic surgery · 2023Pooled it
- Robotic versus Laparoscopic Hiatal Hernia Repair in Elderly Patients.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- A retrospective comparative study comparing laparoscopic and robotic hiatal hernia repair: surgical outcomes, recurrence rate, and postoperative morbidity.Journal of robotic surgery · 2026Article
- Unplanned conversion to open in elective laparoscopic and robotic paraesophageal hernia repair: a propensity score matched analysis of the ACS-NSQIP registry.Surgical endoscopy · 2026Article
- Laparoscopic vs. robotic-assisted antireflux surgery: a matched cohort analysis of procedure costs and outcomes.Surgical endoscopy · 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
- 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
- Voluminous hiatal hernias - the role of robotic surgery.Innovative surgical sciences · 2025Review
- The impact of robotic surgery on the treatment of benign esophageal and gastric disease: early experience of a specialized unit.Journal of robotic surgery · 2024Article
- Comparative analysis of robotic and laparoscopic techniques in hiatal hernia and crural repair: a review of current evidence and outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2024Review
- Perioperative outcomes of robotic versus laparoscopic paraesophageal hernia repair: a NSQIP analysis.Surgical endoscopy · 2024Article
- Evaluation of robot-assisted laparoscopic versus conventional laparoscopic hiatal hernia repair in children.Journal of robotic surgery · 2024Article
- BRAZILIAN HERNIA AND ABDOMINAL WALL SOCIETY STATEMENT ON LARGE HIATAL HERNIAS MANAGEMENT.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024Article
- Robotic-assisted versus laparoscopic paraesophageal hernia repair: a systematic review and meta-analysis.Journal of minimally invasive surgery · 2023Article
- Comparison of laparoscopicJournal of thoracic disease · 2023Review
- Robotic Hiatal Hernia Repair Associated with Higher Morbidity and Readmission Rates Compared to Laparoscopic Repair: 10-Year Analysis from the National Readmissions Database (NRD).Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Large hiatus hernia: time for a paradigm shift?BMC surgery · 2022Article
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6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of robotic platforms in surgery is becoming increasingly common in both practice and residency training. In this study, we compared the perioperative outcomes between robotic platforms and traditional laparoscopy in paraesophageal hernia repair.
methodsA retrospective population-based analysis was performed using the National Inpatient Sample for the period of 2010-2015. Adult patients (≥18 years old) who underwent laparoscopic or robotic paraesophageal hernia repairs were included. Weighted multivariable random intercept linear and logistic regression models were used to assess the effects of robotic surgery on patient outcomes.
resultsA total of 168,329 patients were included in the study. The overall adjusted rate of complications was significantly higher in patients who underwent robotic paraesophageal hernia (PEH) repair compared to laparoscopic PEH OR (95% CI) = 1.17 (1.07, 1.27). Specifically, respiratory failure OR (95% CI) = 1.68 (1.37, 2.05) and esophageal perforation OR (95% CI) = 2.19 (1.42, 3.93) were higher in robotic PEH patients. A subset analysis was performed looking at high-volume centers (>20 operations per year), and, although the risk of complications was lower in the high volume centers compared to intermediate volume centers, complication rates were still significantly higher in the robotic surgery group compared to laparoscopic. Overall charges per surgery were significantly higher in the robotic group.
conclusionRobotic PEH repair is associated with significantly more complications compared to laparoscopic paraesophageal hernia repair even in high-volume centers.
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Registered trials
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.