Computer-enhanced vs. standard laparoscopic antireflux surgery

W. Scott Melvin, Bradley J. Needleman, Kevin R. Krause, Carol Schneider, E. Christopher Ellison, L. Way, B. Schirmer, K. Lillemoe, A. White

Research output: Contribution to journalArticle

107 Citations (Scopus)

Abstract

Computer-assisted telesurgical devices have recently been approved in the United States for general surgery. To determine the safety and efficacy of these procedures, we performed a prospective trial of computer-enhanced "robotic" fundoplication compared to standard laparoscopic control procedures. Consecutive patients undergoing surgical treatment for gastroesophageal reflux were included. The operating surgeon worked at a console using a three-dimensional image and manipulated hand controls. Operative times, complications, and length of hospital stay were recorded. A standardized questionnaire was administered to evaluate symptoms. Twenty patients were entered into each group. There were no differences in age, preoperative weight, or sex. Operative times were significantly longer in the robot group (97 vs. 141 minutes). There were no complications and most patients went home the first postoperative day. At follow-up, symptoms were similar in both groups; however, there was a significant difference in the number of patients taking antisecretory medication - none in the robotic group but six in the laparoscopic group reported regular use. Computer-assisted laparoscopic antireflux surgery is safe. However, operative times are longer, with little difference in outcomes. At the current level of technology and experience, robotic antireflux surgery appears to offer little advantage over standard laparoscopic approaches.

Original languageEnglish (US)
Pages (from-to)11-16
Number of pages6
JournalJournal of Gastrointestinal Surgery
Volume6
Issue number1
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Laparoscopy
Robotics
Operative Time
Length of Stay
Fundoplication
Three-Dimensional Imaging
Gastroesophageal Reflux
Hand
Technology
Safety
Weights and Measures
Equipment and Supplies
Therapeutics

Keywords

  • Computer-assisted surgery
  • Fundoplication
  • Laparoscopic surgery
  • Nissen
  • Robotic surgery

ASJC Scopus subject areas

  • Surgery

Cite this

Melvin, W. S., Needleman, B. J., Krause, K. R., Schneider, C., Ellison, E. C., Way, L., ... White, A. (2002). Computer-enhanced vs. standard laparoscopic antireflux surgery. Journal of Gastrointestinal Surgery, 6(1), 11-16. https://doi.org/10.1016/S1091-255X(01)00032-4

Computer-enhanced vs. standard laparoscopic antireflux surgery. / Melvin, W. Scott; Needleman, Bradley J.; Krause, Kevin R.; Schneider, Carol; Ellison, E. Christopher; Way, L.; Schirmer, B.; Lillemoe, K.; White, A.

In: Journal of Gastrointestinal Surgery, Vol. 6, No. 1, 2002, p. 11-16.

Research output: Contribution to journalArticle

Melvin, WS, Needleman, BJ, Krause, KR, Schneider, C, Ellison, EC, Way, L, Schirmer, B, Lillemoe, K & White, A 2002, 'Computer-enhanced vs. standard laparoscopic antireflux surgery', Journal of Gastrointestinal Surgery, vol. 6, no. 1, pp. 11-16. https://doi.org/10.1016/S1091-255X(01)00032-4
Melvin, W. Scott ; Needleman, Bradley J. ; Krause, Kevin R. ; Schneider, Carol ; Ellison, E. Christopher ; Way, L. ; Schirmer, B. ; Lillemoe, K. ; White, A. / Computer-enhanced vs. standard laparoscopic antireflux surgery. In: Journal of Gastrointestinal Surgery. 2002 ; Vol. 6, No. 1. pp. 11-16.
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