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Robotic Operations for Gastroesophageal Reflux Disease

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The SAGES Atlas of Robotic Surgery

Abstract

Hiatus hernia repair and fundoplication are currently the most prevalent surgical procedures for management of gastroesophageal reflux disease (GERD) [1, 2]. At present, the operative management for GERD has evolved into a minimally invasive approach. Such minimally invasive laparoscopic approaches have resulted in overall superior outcomes, including fewer postoperative complications and reduced hospital length of stay [3, 4]. Robotic procedures with an abdominal approach for Nissen fundoplication, hiatus hernia repair, Heller myotomy, and trans-hiatal esophagectomy without thoracoscopy or thoracotomy have been performed with encouraging outcomes [5, 6]. The da VinciĀ® robotic instrument (Intuitive Surgical, Palo Alto, CA) was used for all robotic surgical procedures described in this chapter for management of paraesophageal hiatus hernias, giant hernias, and recurrent hiatus hernias, as well as the more standard anatomy seen in most patients with GERD.

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Acknowledgments

The authors would like to express their gratitude to Gary Edelberg for assisting with procuring images for this chapter and Emily Shoemaker, MPH, for editing the final draft of the manuscript.

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Correspondence to Daniel H. Dunn MD .

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Dunn, D.H., Johnson, E.M., Aasheim, T.C., Banerji, N. (2018). Robotic Operations for Gastroesophageal Reflux Disease. In: Fong, Y., Woo, Y., Hyung, W., Lau, C., Strong, V. (eds) The SAGES Atlas of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-91045-1_33

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  • DOI: https://doi.org/10.1007/978-3-319-91045-1_33

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