200 “Solo” Laparoscopic Fundoplications with AESOP Robotic Arm

Sergio Rojas-Ortega, MD, Emina Pasic, MD, Rachid Cesin, MD, Luis Miguel Campos, PE, Cris Gomez. Hospital Angeles / Puebla.


INTRODUCTION: From 2003 to 2013 we had performed 200 laparoscopic fundoplications with the AESOP ROBOTIC ARM as the treatment for gastro esophageal reflux disease. We found that the surgery could be performed safely with only the surgeon acting in "solo" surgery. We present our experience and the standard technique used in all cases, including the four main steps for achieving good surgical results. 

MATERIAL : 200 patients had GERD demonstrated by : 24 pH -study, flexible endoscopy or esophagogram in the preoperative evaluation. Age: 20 – 65 years, Sex: 145 male – 55 female, ASA I – II, Barrett esophagus: 30 %, Hiatal hernia : 70%. BMI: 25 – 35.

RESULTS: 200 Laparoscopic fundoplications with the AESOP robotic arm : using 4 trocars, operating time: 50-120 min, conversions: 0, morbidity: 4%, mortality:0%. Robotic arm malfunction: 0. Preoperative setting robotic arm: 10 min. / GERD control in 95% of the patients during follow up 1 to 10 years 

CONCLUSION: Surgery can be safely performed only by the surgeon acting in "solo" with the AESOP ROBOTIC ARM. Using the robotic arm for controling the laparoscopic view gives back the control of all the steps of the procedure to the surgeons resulting in a short operating time, with minimum errors and more precise rythm . In terms of GERD control is effective in 95% of the cases.


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