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01-06-2017 | Case Report

How robotic-assisted surgery can decrease the risk of mucosal tear during Heller myotomy procedure?

Authors: Quentin Ballouhey, Nabil Dib, Aurélien Binet, Véronique Carcauzon-Couvrat, Pauline Clermidi, Bernard Longis, Hubert Lardy, Jane Languepin, Jérôme Cros, Laurent Fourcade

Published in: Journal of Robotic Surgery | Issue 2/2017

Abstract

We report the first description of robotic-assisted Heller myotomy in children. The purpose of this study was to improve the safety of Heller myotomy by demonstrating, in two adolescent patients, the contribution of the robot to the different steps of this procedure. Due to the robot’s freedom of movement and three-dimensional vision, there was an improvement in the accuracy, a gain in the safety regarding different key-points, decreasing the risk of mucosal perforation associated with this procedure.

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Hussain SZ, Thomas R, Tolia V (2002) A review of achalasia in 33 children. Dig Dis Sci 47:2538–2543CrossRefPubMed

Askegard-Giesmann JR, Grams JM, Hanna AM, Iqbal CW, Teh S, Moir CR (2009) Minimally invasive Heller’s myotomy in children: safe and effective. J Pediatr Surg 44:909–911CrossRefPubMed

Campos GM, Vittinghoff E, Rabl C, Takata M, Gadenstatter M, Lin F et al (2009) Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. Ann Surg 249:45–57CrossRefPubMed

Pastor AC, Mills J, Marcon MA, Himidan S, Kim PC (2009) A single center 26-year experience with treatment of esophageal achalasia: is there an optimal method? J Pediatr Surg 44:1349–1354CrossRefPubMed

Esposito C, Mendoza-Sagaon M, Roblot-Maigret B, Amici G, Desruelle P, Montupet P (2000) Complications of laparoscopic treatment of esophageal achalasia in children. J Pediatr Surg 35:680–683CrossRefPubMed

Zhang LP, Chang R, Matthews BD, Awad M, Meyers B, Eagon JC et al (2014) Incidence, mechanisms, and outcomes of esophageal and gastric perforation during laparoscopic foregut surgery: a retrospective review of 1223 foregut cases. Surg Endosc 28:85–90CrossRefPubMed

Afaneh C, Finnerty B, Abelson JS, Zarnegar R (2015) Robotic-assisted Heller myotomy: a modern technique and review of outcomes. J Robot Surg 9:101–108CrossRefPubMed

Galvani C, Gorodner MV, Moser F, Baptista M, Donahue P, Horgan S (2006) Laparoscopic Heller myotomy for achalasia facilitated by robotic assistance. Surg Endosc 20:1105–1112CrossRefPubMed

Horgan S, Galvani C, Gorodner MV, Omelanczuck P, Elli F, Moser F et al (2005) Robotic-assisted Heller myotomy versus laparoscopic Heller myotomy for the treatment of esophageal achalasia: multicenter study. J Gastrointest Surg 9:1020–1029 (discussion 1029–1030) CrossRefPubMed

10.

Huffmanm LC, Pandalai PK, Boulton BJ, James L, Starnes SL, Reed MF, Howington JA, Nussbaum MS (2007) Robotic Heller myotomy: a safe operation with higher postoperative quality-of-life indices. Surgery 142:613–618 (discussion 618–620) CrossRefPubMed

11.

Shaligram A, Unnirevi J, Simorov A, Kothari VM, Oleynikov D (2012) How does the robot affect outcomes? A retrospective review of open, laparoscopic, and robotic Heller myotomy for achalasia. Surg Endosc 26:1047–1050CrossRefPubMed

12.

Paidas C, Cowgill SM, Boyle R, Al-Saadi S, Villadolid D, Rosemurgy AS (2007) Laparoscopic Heller myotomy with anterior fundoplication ameliorates symptoms of achalasia in pediatric patients. J Am Coll Surg 204:977–983 (discussion 983–976) CrossRefPubMed

13.

Hughes MJ, Chowdhry MF, Walker WS (2011) Can thoracoscopic Heller’s myotomy give equivalent results to the more usual laparoscopic Heller’s myotomy in the treatment of achalasia? Interact CardioVasc Thorac Surg 13:77–81CrossRefPubMed

14.

Zhang LP, Chang R, Matthews BD, Awad M, Meyers B, Eagon JC, Brunt LM (2014) Incidence, mechanisms, and outcomes of esophageal and gastric perforation during laparoscopic foregut surgery: a retrospective review of 1223 foregut cases. Surg Endosc 28:85–90CrossRefPubMed

15.

Li C, Tan Y, Wang X, Liu D (2015) Peroral endoscopic myotomy for treatment of achalasia in children and adolescents. J Pediatr Surg 50:201–205CrossRefPubMed

Title: How robotic-assisted surgery can decrease the risk of mucosal tear during Heller myotomy procedure?
Authors: Quentin Ballouhey
Nabil Dib
Aurélien Binet
Véronique Carcauzon-Couvrat
Pauline Clermidi
Bernard Longis
Hubert Lardy
Jane Languepin
Jérôme Cros
Laurent Fourcade
Publication date: 01-06-2017
Publisher: Springer London
Published in: Journal of Robotic Surgery / Issue 2/2017
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-016-0658-9

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How robotic-assisted surgery can decrease the risk of mucosal tear during Heller myotomy procedure?

Abstract

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Abstract

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