A comparative analysis of the laparoscopic and robot-assisted laparo-scopic fundoplication for the hiatal hernia

Elaparoscopic fundoplication has gained rapid surgery and is the gold standard in the treatment of hiatal hernia and gastroesophageal reflux disease. However, with the invention of robot-assisted laparoscopic technologies, disputes over this or that minimally invasive technology have not subsided. Methods. A group of authors from 2015 to 2019 y.e. 363 surgical treatments was performed for the treatment of hiatal hernia and gastroesophageal reflux disease. Patients were stratified on laparoscopic fundoplication or robot-assisted laparoscopic fundoplication. Intraoperative and postoperative results were evaluated. Results. All 363 patients completed Nissen fundoplication: laparoscopic fundoplication - 291 (80.17%) patients, robot-assisted laparoscopic fundoplication - 72 (19.83%) patients. Intraoperative and postoperative results are comparable with each other. Complications of Clavien-Dindo Classification >3 were observed in 3 patients in the laparoscopic fundoplication group. The follow-up period for patients of the laparoscopic fundoplication group ranged from 1 to 53 months (median - 19 months), for patients of the robot-assisted laparoscopic fundoplication group ranged from 1 to 41 months (median - 13 months). Conclusion. The observed values demonstrate that robot-assisted laparoscopic fundoplication is comparable to laparoscopic fundoplication in terms of a workable result.