Robotic revision surgery after failed Nissen anti-reflux surgery: a single center experience and a literature review.
Anti-reflux surgery
Gastro-esophageal reflux disease
Hiatal hernia
Nissen fundoplication
Redo Nissen
Robotic fundoplication
Roux-en-Y gastric bypass
Toupet fundoplication
Journal
Journal of robotic surgery
ISSN: 1863-2491
Titre abrégé: J Robot Surg
Pays: England
ID NLM: 101300401
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
received:
30
12
2022
accepted:
09
02
2023
medline:
28
7
2023
pubmed:
3
3
2023
entrez:
2
3
2023
Statut:
ppublish
Résumé
The gastroesophageal reflux disease (GERD) worldwide prevalence is increasing maybe due to population aging and the obesity epidemic. Nissen fundoplication is the most common surgical procedure for GERD with a failure rate of approximately 20% which might require a redo surgery. The aim of this study was to evaluate the short- and long-term outcomes of robotic redo procedures after anti-reflux surgery failure including a narrative review. We reviewed our 15-year experience from 2005 to 2020 including 317 procedures, 306 for primary, and 11 for revisional surgery. Patients included in the redo series underwent primary Nissen fundoplication with a mean age of 57.6 years (range, 43-71). All procedures were minimally invasive and no conversion to open surgery was registered. The meshes were used in five (45.45%) patients. The mean operative time was 147 min (range, 110-225) and the mean hospital stay was 3.2 days (range, 2-7). At a mean follow-up of 78 months (range, 18-192), one patient suffered for persistent dysphagia and one for delayed gastric emptying. We had two (18.19%) Clavien-Dindo grade IIIa complications, consisting of postoperative pneumothoraxes treated with chest drainage. Redo anti-reflux surgery is indicated in selected patients and the robotic approach is safe when it is performed in specialized centers, considering its surgical technical difficulty.
Sections du résumé
BACKGROUND
BACKGROUND
The gastroesophageal reflux disease (GERD) worldwide prevalence is increasing maybe due to population aging and the obesity epidemic. Nissen fundoplication is the most common surgical procedure for GERD with a failure rate of approximately 20% which might require a redo surgery. The aim of this study was to evaluate the short- and long-term outcomes of robotic redo procedures after anti-reflux surgery failure including a narrative review.
METHODS
METHODS
We reviewed our 15-year experience from 2005 to 2020 including 317 procedures, 306 for primary, and 11 for revisional surgery.
RESULTS
RESULTS
Patients included in the redo series underwent primary Nissen fundoplication with a mean age of 57.6 years (range, 43-71). All procedures were minimally invasive and no conversion to open surgery was registered. The meshes were used in five (45.45%) patients. The mean operative time was 147 min (range, 110-225) and the mean hospital stay was 3.2 days (range, 2-7). At a mean follow-up of 78 months (range, 18-192), one patient suffered for persistent dysphagia and one for delayed gastric emptying. We had two (18.19%) Clavien-Dindo grade IIIa complications, consisting of postoperative pneumothoraxes treated with chest drainage.
CONCLUSION
CONCLUSIONS
Redo anti-reflux surgery is indicated in selected patients and the robotic approach is safe when it is performed in specialized centers, considering its surgical technical difficulty.
Identifiants
pubmed: 36862348
doi: 10.1007/s11701-023-01546-6
pii: 10.1007/s11701-023-01546-6
pmc: PMC9979125
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1517-1524Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.
Références
Sweis R, Fox M (2020) The global burden of gastro-oesophageal reflux disease: more than just heartburn and regurgitation. Lancet Gastroenterol Hepatol 5(6):519–521
pubmed: 32178771
Dallemagne B et al (1991) Laparoscopic Nissen fundoplication: preliminary report. Surg Laparosc Endosc 1(3):138–143
pubmed: 1669393
Bais JE et al (2000) Surgical treatment for recurrent gastro-oesophageal reflux disease after failed antireflux surgery. Br J Surg 87(2):243–249
pubmed: 10671935
Humphries LA et al (2013) Causes of dissatisfaction after laparoscopic fundoplication: the impact of new symptoms, recurrent symptoms, and the patient experience. Surg Endosc 27(5):1537–1545
pubmed: 23508812
Schlottmann F et al (2021) Outcomes of laparoscopic redo fundoplication in patients with failed antireflux surgery: a systematic review and meta-analysis. Ann Surg 274(1):78–85
pubmed: 33214483
Zhou T et al (2015) Reoperation rates after laparoscopic fundoplication. Surg Endosc 29(3):510–514
pubmed: 24986015
Watson MD et al (2017) Roux-en-Y gastric bypass following Nissen fundoplication: higher risk same reward. Obes Surg 27(9):2398–2403
pubmed: 28332075
pmcid: 5610056
Celasin H et al (2017) Laparoscopic revision surgery for gastroesophageal reflux disease. Medicine (Baltimore) 96(1):e5779
pubmed: 28072725
Grover BT, Kothari SN (2015) Reoperative antireflux surgery. Surg Clin North Am 95(3):629–640
pubmed: 25965135
Ceccarelli G et al (2021) Minimally invasive approach to gastric GISTs: analysis of a multicenter robotic and laparoscopic experience with literature review. Cancers (Basel) 13(17):4351
pubmed: 34503161
Rocca A et al (2021) Robotic surgery for colorectal liver metastases resection: a systematic review. Int J Med Robot 17(6):e2330
pubmed: 34498805
Miskovic D et al (2015) Standardization of laparoscopic total mesorectal excision for rectal cancer: a structured international expert consensus. Ann Surg 261(4):716–722
pubmed: 25072446
Elmously A et al (2018) Robotic reoperative anti-reflux surgery: low perioperative morbidity and high symptom resolution. World J Surg 42(12):4014–4021
pubmed: 29959490
Yadlapati R, Gyawali CP, Pandolfino JE (2022) Personalized approach to the evaluation and management of gastroesophageal reflux disease. Clin Gastroenterol Hepatol. https://doi.org/10.1016/j.cgh.2022.01.025
doi: 10.1016/j.cgh.2022.01.025
pubmed: 36309340
pmcid: 9838103
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213
pubmed: 15273542
pmcid: 1360123
Vandenbroucke JP et al (2014) Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Int J Surg 12(12):1500–1524
pubmed: 25046751
Granderath FA et al (2002) Is laparoscopic refundoplication feasible in patients with failed primary open antireflux surgery? Surg Endosc 16(3):381–385
pubmed: 11928012
Banki F et al (2017) Laparoscopic reoperative antireflux surgery is more cost-effective than open approach. J Am Coll Surg 225(2):235–242
pubmed: 28412539
Luberice K et al (2021) Robotic Complex Fundoplication in Patients at High-Risk to Fail. Jsls 25(2):e2020.00111
pubmed: 34248333
pmcid: 8241286
Tolboom RC, Draaisma WA, Broeders IA (2016) Evaluation of conventional laparoscopic versus robot-assisted laparoscopic redo hiatal hernia and antireflux surgery: a cohort study. J Robot Surg 10(1):33–39
pubmed: 26809755
pmcid: 4766202
Bell RC et al (2013) Revision of failed traditional fundoplication using EsophyX transoral fundoplication. Surg Endosc 27(3):761–767
pubmed: 23052519
Testoni SGG et al (2021) Transoral incisionless fundoplication with Medigus ultrasonic surgical endostapler (MUSE) for the treatment of gastro-esophageal reflux disease: outcomes up to 3 years. Surg Endosc 36(7):5023–5031
pubmed: 34799745
Al Hashmi AW et al (2019) A retrospective multicenter analysis on redo-laparoscopic anti-reflux surgery: conservative or conversion fundoplication? Surg Endosc 33(1):243–251
pubmed: 29943063
Swanstrom LL, Marcus DR, Galloway GQ (1996) Laparoscopic Collis gastroplasty is the treatment of choice for the shortened esophagus. Am J Surg 171(5):477–481
pubmed: 8651389
Kornmo TS, Ruud TE (2008) Long-term results of laparoscopic Nissen fundoplication due to gastroesophageal reflux disease. A ten year follow-up in a low volume center. Scand J Surg 97(3):227–230
pubmed: 18812271
Baigrie RJ et al (2005) Randomized double-blind trial of laparoscopic Nissen fundoplication versus anterior partial fundoplication. Br J Surg 92(7):819–823
pubmed: 15898129
Booth MI et al (2008) Randomized clinical trial of laparoscopic total (Nissen) versus posterior partial (Toupet) fundoplication for gastro-oesophageal reflux disease based on preoperative oesophageal manometry. Br J Surg 95(1):57–63
pubmed: 18076018
Obeid NR et al (2018) Patterns of reoperation after failed fundoplication: an analysis of 9462 patients. Surg Endosc 32(1):345–350
pubmed: 28707016
Rudolph-Stringer V et al (2022) Randomized trial of laparoscopic Nissen versus anterior 180 degree partial fundoplication - late clinical outcomes at 15 to 20 years. Ann Surg 275(1):39–44
pubmed: 33214480
Giulini L, Razia D, Mittal SK (2021) Redo fundoplication and early Roux-en-Y diversion for failed fundoplication: a 3-year single-center experience. Surg Endosc 36(5):3094–3099
pubmed: 34231073
Stefanidis D et al (2012) Laparoscopic fundoplication takedown with conversion to Roux-en-Y gastric bypass leads to excellent reflux control and quality of life after fundoplication failure. Surg Endosc 26(12):3521–3527
pubmed: 22692463
Kim M et al (2014) Minimally invasive Roux-en-Y gastric bypass for fundoplication failure offers excellent gastroesophageal reflux control. Am Surg 80(7):696–703
pubmed: 24987903
Coakley KM et al (2018) Roux-En-Y gastric bypass following failed fundoplication. Surg Endosc 32(8):3517–3524
pubmed: 29362910
Weber CE et al (2019) Roux-en-Y gastric bypass as a salvage procedure in complicated patients with failed fundoplication(s). Surg Endosc 33(3):738–744
pubmed: 30003347
Sato K et al (2002) Causes of long-term dysphagia after laparoscopic Nissen fundoplication. JSLS 6(1):35–40
pubmed: 12002294
pmcid: 3043403
Rodriguez HA, Oelschlager BK (2017) Secrets for successful laparoscopic antireflux surgery: mesh hiatoplasty. Ann Laparosc Endosc Surg 2:50
Armijo PR et al (2021) Surgical and clinical outcomes comparison of mesh usage in laparoscopic hiatal hernia repair. Surg Endosc 35(6):2724–2730
pubmed: 32556757
Olson MT et al (2018) Primary paraesophageal hernia repair with Gore(R) Bio-A(R) tissue reinforcement: long-term outcomes and association of BMI and recurrence. Surg Endosc 32(11):4506–4516
pubmed: 29761272
Iossa A, Silecchia G (2019) Mid-term safety profile evaluation of Bio-A absorbable synthetic mesh as cruroplasty reinforcement. Surg Endosc 33(11):3783–3789
pubmed: 30675663
Awais O et al (2011) Reoperative antireflux surgery for failed fundoplication: an analysis of outcomes in 275 patients. Ann Thorac Surg 92(3):1083–1089
pubmed: 21802068
Furnée EJ et al (2009) Surgical reintervention after failed antireflux surgery: a systematic review of the literature. J Gastrointest Surg 13(8):1539–1549
pubmed: 19347410
pmcid: 2710493
Mertens AC et al (2019) Morbidity and mortality in complex robot-assisted hiatal hernia surgery: 7-year experience in a high-volume center. Surg Endosc 33:2152–2161
pubmed: 30350095
Neuhauser B, Hinder RA (2001) Laparoscopic reoperation after failed antireflux surgery. Semin Laparosc Surg 8(4):281–286
pubmed: 11813146
Khajanchee YS, Dunst CM, Swanstrom LL (2009) Outcomes of Nissen fundoplication in patients with gastroesophageal reflux disease and delayed gastric emptying. Arch Surg 144(9):823–828
pubmed: 19797106
Hamrick MC et al (2013) Incidence of delayed gastric emptying associated with revisional laparoscopic paraesophageal hernia repair. J Gastrointest Surg 17(2):213–217
pubmed: 22895685
Lu D et al (2019) Investigating rates of reoperation or postsurgical gastroparesis following fundoplication or paraesophageal hernia repair in New York State. Surg Endosc 33(9):2886–2894
pubmed: 30478699