Robotic vs. laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease: Systematic review and meta-analysis

S. R. Markar, A. P. Karthikesalingam, M. E. Hagen, M. Talamini, S. Horgan, O. J. Wagner

Research output: Contribution to journalReview article

Abstract

The aim of this meta-analysis was to compare clinical outcome following laparoscopic and robotic Nissen fundoplication. A systematic literature search of Medline, Embase and Cochrane Library databases was performed. Primary outcome measures were the requirement for re-operation, postoperative mortality and postoperative dysphagia. Secondary outcome measures were operative time, length of hospital stay, operative complications and cost. Six randomized trials, of 226 patients, were included in this meta-analysis. There was no significant difference in requirement for re-operation or in postoperative dysphagia. There was a significantly reduced total operative time in the laparoscopic group (weighted mean difference = 4.154; 95% CI = 1.932-6.375; p = 0.0002). There was no significant difference between robotic and laparoscopic groups for hospital stay or operative complications. Clinical results from robotic Nissen fundoplication were comparable to the standard laparoscopic approach, but there was associated increased operative time and procedure cost.

Original languageEnglish (US)
Pages (from-to)125-131
Number of pages7
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume6
Issue number2
DOIs
StatePublished - Jun 2010

Keywords

  • Laparoscopic
  • Nissen fundoplication
  • Robotic

ASJC Scopus subject areas

  • Surgery
  • Biophysics
  • Computer Science Applications

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