ArticleJTCVS open2025
Improved outcomes with robotic-assisted laparoscopic paraesophageal hernia repairs compared with laparoscopic and transthoracic approaches: A single high-volume institution experience.
Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline 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
- A retrospective comparative study comparing laparoscopic and robotic hiatal hernia repair: surgical outcomes, recurrence rate, and postoperative morbidity.Journal of robotic surgery · 2026Article
- Robot-Assisted Antireflux Surgery in Gastro-Oesophageal Reflux Disease and Hiatal Hernia: Beyond Platform Comparison Towards Selective Clinical Value.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Review
- The Implementation of Robotics in the Setting of Hiatal Hernia Repair: A Scoping Review on Current Evidence.Cureus · 2025Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Laparoscopic (lap) paraesophageal hernia repair has excellent short-term outcomes but higher long-term recurrence rates compared with the transthoracic repair. We hypothesized that the robotic-assisted lap (robot) approach would have similarly good short-term outcomes as lap, but also lower recurrence rates. Methods: A retrospective study of prospectively collected data was performed for paraesophageal hernia repairs at a single high-volume quaternary hospital from July 2018 to September 2022. Outcomes analyzed included 2-year postoperative radiographic recurrence (Rad), Society of Thoracic Surgeons-defined radiographic recurrence (STS-rad), symptomatic recurrence (Sx), and perioperative outcomes. Lap, robot, and transthoracic groups were compared using univariate, multivariate, and propensity score analysis. Results: Among 207 cases (52 lap, 90 robot, and 65 transthoracic), robot was lower than lap (odds ratio [OR], 0.13-0.17; Conclusions: Robotic paraesophageal hernia repairs had generally lower 2-year recurrence and reoperation than lap and shorter hospital stays and fewer immediate complications than transthoracic.
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Registered trials
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