近年来，达芬奇机器人手术已成功应用于食管裂孔疝修补术。有研究表明，机器人辅助食管裂孔疝修复术与传统的腹腔镜和开放手术具有相同的安全及有效性，并显示了更微创的技术优势。然而，其长期效益仍有待进一步研究。此外，随着达芬奇机器人应用的普及和手术量的增加，对手术适应症的把握将更加准确，手术技能也将不断提高，其独特的技术优势必将为我国广大食管裂孔疝（HH）患者带来福音。机器人HH修复术是安全可行的，近期效果较好，在精细解剖、精确缝合和微创方面有明显优势。

In recent years, Da Vinci Robotic surgery has been successfully applied to esophageal hiatal hernia repair. Some studies have shown that robotic-assisted esophageal hiatal hernia repair has the same safety and efficacy as traditional laparoscopic and open surgery, and has demonstrated the advantages of a more minimally invasive technique. However, its long-term benefits remain to be further investigated. In addition, as the application of the Da Vinci Robot becomes more popular and the volume of surgery increases, the grasp of surgical indications will become more accurate and surgical skills will continue to improve, and its unique technical advantages will certainly bring benefits to the majority of patients with esophageal hiatal hernia (HH) in China. Robotic HH repair is safe and feasible, with better recent results and obvious advantages in fine dissection, precise suturing and minimally invasive.