Federico Gheza, MD, Ileana Skalamera, MD, Alberto Mangano, MD, Mario A Masrur, MD, Pier C Giulianotti, MD, FACS. UIC
Introduction: giant hital hernia (GHH) accounts for 5% of all hiatal hernias and are usually defined by the presence of at least 30% of the stomach in the thoracic cavity.Currently, the robotic technique is performed for selected patients. GHH is commonly seen in elderly and obese patients which are usually exposed to a higher morbidity and recurrence rate. Our aim is to study the robotic approach of giant hiatal hernias in these “frail” patients.
Methods and procedures: our prospectively collected, IRB approved database was queried between June 2008 and September 2016. Preoperative risk factors were collected. We focused on perioperative outcomes and in hospital complication rate.
Results: thirty-three patients underwent robot assisted giant hiatal hernia repair at our Institution. 13 patients (40%) were 70 years and older and 15 patients (46%) had a BMI higher then There were no significant differences in patient characteristics between the groups. No patient underwent conversion to open or standard laparoscopy. No mortality was observed and no transfusions were needed. Four patients (12%) had a complication, two of them were older than 70 years old. Three of the four patient (75%) that had a complication were obese. There were no statistical differences in mortality, morbidity neither reoperation rate between the groups.
Conclusions: in our experience the robotic repair of giant hiatal hernia is related to a low complication rate, without any difference in patients with preoperative risk factors. For this reason robotic assistance can be considered a good option for giant hernias in fragile patients.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88443
Program Number: P810
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster