Abstract:

Robotic-assisted repair of esophageal hiatal hernia combined with fundoplication：A report of two cases                       TIAN Wen, XI Hong-qing, WEI Bo, et al. Department of General Surgery, Chinese People’s Liberation Army General Hospital, Beijing 100853, China
Corresponding author: TIAN Wen, E-mail: tianwen301_cta01@163.com.
Abstract    Objective    To evaluate the clinical safety and effectivity of da Vinci Si surgery system in repair of esophageal hiatal hernia combined with fundoplication.Methods    Robotic-assisted repair of esophageal hiatal hernia combined with fundoplication was performed for two patients in our hospital on March, 2015. Results    Repair of esophageal hiatal hernia combined with fundoplication was successfully performed by da Vinci Si surgery system in two patients. There were no operation related complications and without conversions to open surgery. The mean intraoperative blood loss was 25-30 mL. The mean operation time was 175 min. The first flatus and oral feeding were 44 h and 21 h after operation, respectively. Symptoms of the 2 patients were relieved completely.Conclusion    Robotic-assisted repair of esophageal hiatal hernia combined with fundoplication is safe, effective. There are certain advantages in terms of suture.

Key words: Robotic surgery, da Vinci Si surgery system, esophageal hiatal hernia, fundoplication;

摘要：

目的    探讨da Vinci Si（达芬奇）机器人辅助行食管裂孔疝修补术及胃底折叠术的安全性及有效性。方法    2015年3月，中国人民解放军总医院应用达芬奇机器人外科系统完成2例食管裂孔疝修补术及胃底折叠术。结果    2例病人均成功实施机器人辅助食管裂孔疝修补及胃底折叠术，无中转开腹，无手术并发症。术中出血量分别为25、30 mL，手术时间分别为170、180 min。术后分别于44、21 h排气并开始进流食，术后症状完全缓解。结论    机器人辅助食管裂孔疝修补术及胃底折叠术安全有效，在裂孔修补缝合方面有一定优势。

关键词: 机器人手术, da Vinci Si 外科手术系统, 食管裂孔疝, 胃底折叠术