关键词: 食管裂孔疝, 机器人手术系统, 胃食管反流病, 多学科综合治疗协作组

Abstract: Advantages, difficulties and countermeasures of robotic repair of hiatal hernia        LI Chen, TIAN Wen. Department of Thyroid & Hernia Surgery, Medical Department of General Surgery, the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
Corresponding author: TIAN Wen, E-mail: tianwen301_cta01@163.com
Abstract    Robotic surgery is a considerable advance in the field of surgery. Using the advantages of naked eye 3D imaging, 7 degrees of freedom simulation wrist system, human mechanical design, and other robot hardware, we can improve the accuracy and safety of surgical operations such as the free diaphragm foot, the closure of esophageal hiatus, the placement of the patch, and the suture of gastric fundus folding during hiatal hernia repair. Although in the process of robotic hiatal hernia repair surgery, giant hiatal hernia surgery is also difficult to operate, with a long period of doctor training and growth, high treatment cost, difficulties, and deficiencies. However, it is believed that by strengthening standardized training and reducing the use cost of robots in the future, the robotic surgical system will be safer and more widely carried out in hiatal hernia repair surgery and play an increasingly important application value.

Key words: hiatal hernia, robotic surgical system, gastroesophageal reflux disease, multidisciplinary team