Evidence map›Paper›PMID 36862348›Full record

ReviewJournal of robotic surgery2023

Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review.

Graziano Ceccarelli, Manuel Valeri, Lavinia Amato, Michele De Rosa, Fabio Rondelli, Micaela Cappuccio, Francesca Elvira Gambale, Mariarita Fantozzi, Guido Sciaudone, Pasquale Avella and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Journal of robotic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Graziano CeccarelliGeneral and Robotic Surgery Department, San Giovanni Battista Hospital, Foligno, Italy.
Manuel ValeriDepartment of Surgery, School of Medicine, University of Perugia, Perugia, Italy.
Lavinia AmatoDepartment of Surgery, School of Medicine, University of Perugia, Perugia, Italy.
Michele De RosaGeneral and Robotic Surgery Department, San Giovanni Battista Hospital, Foligno, Italy.
Fabio RondelliDepartment of Surgery, School of Medicine, University of Perugia, Perugia, Italy.
Micaela CappuccioDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131, Naples, Italy.
Francesca Elvira GambaleDepartment of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.
Mariarita FantozziClinical Pharmacology Unit, A. Cardarelli Hospital, Campobasso, Italy.
Guido SciaudoneDepartment of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.
Pasquale AvellaDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131, Naples, Italy. avella.p@libero.it.ORCID http://orcid.org/0000-0003-4910-5404
Aldo RoccaDepartment of Medicine and Health Sciences "V. Tiberio", University of Molise, Campobasso, Italy.
University of Molise · ITUniversity of Perugia · ITAzienda Ospedaliero Universitaria San Giovanni Battista · ITFatebenefratelli Hospital · ITFederico II University Hospital · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe gastroesophageal reflux disease (GERD) worldwide prevalence is increasing maybe due to population aging and the obesity epidemic. Nissen fundoplication is the most common surgical procedure for GERD with a failure rate of approximately 20% which might require a redo surgery. The aim of this study was to evaluate the short- and long-term outcomes of robotic redo procedures after anti-reflux surgery failure including a narrative review.

methodsWe reviewed our 15-year experience from 2005 to 2020 including 317 procedures, 306 for primary, and 11 for revisional surgery.

resultsPatients included in the redo series underwent primary Nissen fundoplication with a mean age of 57.6 years (range, 43-71). All procedures were minimally invasive and no conversion to open surgery was registered. The meshes were used in five (45.45%) patients. The mean operative time was 147 min (range, 110-225) and the mean hospital stay was 3.2 days (range, 2-7). At a mean follow-up of 78 months (range, 18-192), one patient suffered for persistent dysphagia and one for delayed gastric emptying. We had two (18.19%) Clavien-Dindo grade IIIa complications, consisting of postoperative pneumothoraxes treated with chest drainage.

conclusionRedo anti-reflux surgery is indicated in selected patients and the robotic approach is safe when it is performed in specialized centers, considering its surgical technical difficulty.

Indexed as

Gastroesophageal RefluxLaparoscopyRobotic Surgical ProceduresFundoplicationHumansMiddle AgedPostoperative ComplicationsReoperationTreatment OutcomeAnti-reflux surgeryGastro-esophageal reflux diseaseHiatal herniaNissen fundoplicationRedo NissenRobotic fundoplicationRoux-en-Y gastric bypassToupet fundoplication

Identifiers

PMID36862348
PMCPMC9979125
OpenAlexW4322758664

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.