Improved outcomes with robotic-assisted laparoscopic paraesophageal hernia repairs compared with laparoscopic and transthoracic approaches: A single high-volume institution experience

作者：Katelyn R. Ward, Jenny Bui, Irina Bondarenko, Andrew C. Chang, Kiran H. Lagisetty, Jules Lin, Chigozirim N. Ekeke, David D. Odell, Rishindra M. Reddy · 发表于：JTCVS Open · 年份：2025 · DOI：10.1016/j.xjon.2025.06.016 · 被引用次数：3 · 研究领域：Gastroesophageal reflux and treatments、Esophageal Cancer Research and Treatment、Congenital Diaphragmatic Hernia Studies

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: < .05). 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.