Federica Cucè, Giovanni Pallabazzer, Mario Antonio Belluomini, Andrea Gennai, Biagio Solito, Paola Marini, Debora Gianetri, Stefano Santi
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Abstract
Background
Surgical management of oesophageal pulsion diverticula is advised when symptoms significantly impair quality of life. Robotics can aid in transhiatal dissection in diverticulectomy, but available evidence is limited.
Methods
A retrospective chart review of all consecutive robotic-assisted oesophageal diverticulectomies with Heller myotomy and Dor fundoplication at a high-volume centre between 2015 and 2024 was conducted. Surgical technique, patient characteristics, and short- and long-term outcomes were recorded. As this was an observational study with anonymised data, ethical approval was waived.
Results
4/14 patients required abdominal and intrathoracic approaches, and none were converted to open surgery. Trocar-related abdominal wall bleeding required reintervention; mortality was zero. No leaks or strictures were noted; all reported symptom relief, one reflux and two dysphagia recurrences without strictures or recurrences.
Conclusions
Robotic-assisted diverticulectomy performed by experienced surgeons appears feasible and associated with acceptable short-term outcomes. Further prospective studies are needed to confirm long-term safety and efficacy.
期刊介绍：
The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.
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