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The SAGES Manual of Robotic Surgery pp 21–34Cite as

Masters Program Foregut Pathway: Robotic Fundoplications

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Abstract

Gastroesophageal reflux disease (GERD) is the most common gastrointestinal-related diagnosis in the United States. Its prevalence varies from 8 to 28% in Western countries and reduces health-related quality of life and imposes a significant economic burden on the healthcare system. It is defined as “a condition that develops when reflux of gastric contents causes troublesome symptoms or complications”. Initial management of GERD consists of life style modifications and medical therapy directed at neutralizing acid. Despite improvement in surgical techniques, there is significant debate surrounding optimal surgical management. Appropriate patient selection and knowledge of principles of surgical therapy is important to obtain a good surgical outcome. Minimally invasive fundoplication is the current standard in surgical approach to GERD with 3% of all fundoplications being performed laparoscopically with robotic assistance and 79% being performed by the conventional laparoscopic approach. The goal of this chapter is to provide a thorough overview of robotic-assisted laparoscopic fundoplications, including indications for the procedure, preoperative evaluation, various operative techniques, and potential complications.

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References

  1. Shaheen NJ, Hansen RA, Morgan DR, Gangarosa LM, Ringel Y, Thiny MT, et al. The burden of gastrointestinal and liver diseases, 2006. Am J Gastroenterol. 2006;101(9):2128–38.

    Article  Google Scholar 

  2. Lacy BE, Weiser K, Chertoff J, Fass R, Pandolfino JE, Richter JE, et al. The diagnosis of gastroesophageal reflux disease. Am J Med. 2010;123(7):583–92.

    Article  Google Scholar 

  3. Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R. The montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol. 2006;101(8):1900–20; quiz 43.

    Google Scholar 

  4. Worrell SG, Greene CL, DeMeester TR. The state of surgical treatment of gastroesophageal reflux disease after five decades. J Am Coll Surg. 2014;219(4):819–30.

    Article  Google Scholar 

  5. Tolboom RC, Broeders IAMJ, Draaisma WA. Robot-assisted laparoscopic hiatal hernia and antireflux surgery. J Surg Oncol. 2015;112(3):266–70.

    Article  CAS  Google Scholar 

  6. Stefanidis D, Hope WW, Kohn GP, Reardon PR, Richardson WS, Fanelli RD. Guidelines for surgical treatment of gastroesophageal reflux disease. Surg Endosc. 2010;24(11):2647–69.

    Article  Google Scholar 

  7. Kahrilas PJ, Shaheen NJ, Vaezi MF. American gastroenterological association medical position statement on the management of gastroesophageal reflux disease. Gastroenterology. 2008;135(4):1383–91.e5.

    Article  Google Scholar 

  8. Campos GMR, Peters JH, DeMeester TR, Öberg S, Crookes PF, Tan S, et al. Multivariate analysis of factors predicting outcome after laparoscopic Nissen fundoplication. J Gastrointest Surg. 1999;3(3):292–300.

    Article  CAS  Google Scholar 

  9. DeMeester TR, Johnson LF. The evaluation of objective measurements of gastroesophageal reflux and their contribution to patient management. Surg Clin North Am. 1976;56(1):39–53.

    Article  CAS  Google Scholar 

  10. Peters JH. Modern imaging for the assessment of gastroesophageal reflux disease begins with the barium esophagram. J Gastrointest Surg. 2000;4(4):346–7.

    Article  CAS  Google Scholar 

  11. Ujiki M, Shogan BD. Partial fundoplications: indications and technique. In: Swanstrom LL, Dunst CM, editors. Antireflux surgery. New York: Springer; 2015. p. 89–98.

    Google Scholar 

  12. Patti MG, Robinson T, Galvani C, Gorodner MV, Fisichella PM, Way LW. Total fundoplication is superior to partial fundoplication even when esophageal peristalsis is weak. J Am Coll Surg. 2004;198(6):863–9; discussion 9–70.

    Google Scholar 

  13. Dunn DH, Johnson EM, Kemp K, Ganz R, Leon S, Banerji N. Robotic assisted operations for gastroesophageal reflux. In: Kim KC, editor. Robotics in general surgery. New York: Springer; 2014. p. 33–54.

    Chapter  Google Scholar 

  14. Melotti G, Trapani V, Frazzoni M, Varoli M, Piccoli M. Anti-reflux procedures and cardioesophagomyotomy. In: Spinoglio G, editor. Robotic surgery. Milano: Springer; 2015. p. 51–8.

    Chapter  Google Scholar 

  15. Morelli L, Guadagni S, Mariniello MD, Pisano R, D’Isidoro C, Belluomini MA, et al. Robotic giant hiatal hernia repair: 3 year prospective evaluation and review of the literature. Int J Med Robot. 2015;11(1):1–7.

    Article  Google Scholar 

  16. Wykypiel H, Wetscher GJ, Klaus A, Schmid T, Gadenstaetter M, Bodner J, et al. Robot-assisted laparoscopic partial posterior fundoplication with the DaVinci system: initial experiences and technical aspects. Langenbecks Arch Surg. 2003;387(11–12):411–6.

    Article  CAS  Google Scholar 

  17. French G, Khaitan L. Laparoscopic Nissen fundoplication. Oper Tech Gen Surg. 2006;8(3):119–26.

    Article  Google Scholar 

  18. Patti MG, Molena D, Fisichella PM, Whang K, Yamada H, Perretta S, et al. Laparoscopic Heller myotomy and Dor fundoplication for achalasia: analysis of successes and failures. Arch Surg. 2001;136(8):870–7.

    Article  CAS  Google Scholar 

  19. Almond LM, Wadley MS. A 5-year prospective review of posterior partial fundoplication in the management of gastroesophageal reflux disease. Int J Surg (London, England). 2010;8(3):239–42.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, St. Elizabeth’s Medical Center, Brighton, MA, 02135, USA

    George Orthopoulos M.D., Ph.D. & Partha Bhurtel M.B.B.S.

  2. General Surgery, Tufts University School of Medicine, One Pearl St., Suite 2000, Brockton, MA, 02301, USA

    Omar Yusef Kudsi M.D., M.B.A., F.A.C.S.

Authors
  1. George Orthopoulos M.D., Ph.D.
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  2. Partha Bhurtel M.B.B.S.
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  3. Omar Yusef Kudsi M.D., M.B.A., F.A.C.S.
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Corresponding author

Correspondence to Omar Yusef Kudsi M.D., M.B.A., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Department of General and Gastrointestinal Surgery, Emory Endosurgery, Emory University School of Medicine, Atlanta, GA, USA

    Ankit D. Patel

  2. Gastrointestinal, Minimally Invasive and Bariatric Surgery, The Center for Advanced Surgical Technology, University of Nebraska Medical Center, Omaha, NE, USA

    Dmitry Oleynikov

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Orthopoulos, G., Bhurtel, P., Kudsi, O.Y. (2018). Masters Program Foregut Pathway: Robotic Fundoplications. In: Patel, A.D., Oleynikov, D. (eds) The SAGES Manual of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-51362-1_3

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  • DOI: https://doi.org/10.1007/978-3-319-51362-1_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-51360-7

  • Online ISBN: 978-3-319-51362-1

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