Clinical effect analysis of Da-vinci robotic repair of hiatal hernia

doi:10.3877/cma.j.issn.2095-8765.2020.02.001

Abstract

Abstract:

Objective

To summary and analyze clinical effect and short-term quality of life for 10 case of Da-vinci robotic repair of hiatal hernia.

Methods

Selected 10 patients between April 2016 and June 2019, who accepted Da-vinci robotic repair of hiatal hernia in thoracic department of the First Affiliated Hospital of Xi'an Jiaotong University, 6 case of male and 4 of female. The average age was (60.6±9.5) years, and the average body mass index (BMI) was (28.5±1.5) kg/m², to analysize clinical characteristics、postoperation outcomes、complications and using the quality of life index (GLQI) to evaluate the quality of life of 3 months and 6 months postoperative. The measurement data were expressed as mean±standard deviation (

x ˉ ± s

). The t test was used for pairwise comparison of GLQI score data. P＜0.05 was considered statistically significant.

Results

Surgical time: 141.8±20.2min; Blood lose: 64±24.5 mL; Time to eat:3.6±1.1d; Postoperation stay: 3.7±1.8d. The GLQI score of preoperative, 3 months postoperative and 6 months were 93±7.8, 124±8.8, 127±7.66 respectively. The scores of 3 and 6 months postoperative were higher than that of preoperative, and the difference was statistically significant (P＜0.05). However, there was no significant difference in scores between 3 and 6 months postoperative (P>0.05).

Conclusion

Da-vinci robotic repaire of hiatal hernia is a safe and feasible operation, may improve short-term quality of life, especially has advantages in fine anatomy and precise suture, worth of application.

Key words: Hiatal hernia, Gastroesophageal reflux disease, Da-vinci robotic surgery, Foundplication

Zhuoqi Jia, Weiru Zhou, Nanzheng Chen, Haiqi He, Shuo Li, Lei Ma, Yong Zhang, Guangjian Zhang, Junke Fu. Clinical effect analysis of Da-vinci robotic repair of hiatal hernia[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2020, 07(02): 71-76.

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References 19

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病例	性别	年龄（岁）	身体质量指数 (kg/m²)	疝环直径(厘米)	手术时间 (分钟)	Nissen 胃底折叠术	补片	术中出血量 (毫升)	经口进食时间(天)	术后住院时间（天）	并发症
1	男	63	27.5	3	180	未行	未用	70	4	4	无
2	女	37	29.3	7	170	是	应用	80	5	3	无
3	男	51	26.8	5	130	是	应用	60	4	4	无
4	男	59	27.1	5	120	是	应用	60	3	3	无
5	女	71	31.1	6	145	是	应用	100	6	8	肺炎
6	男	68	29.3	5	115	是	应用	100	3	5	无
7	女	66	27.5	7	136	是	应用	70	3	5	无
8	男	59	26.5	3	126	未行	未用	20	2	5	无
9	男	68	29.8	7	140	是	应用	40	3	8	轻度吞咽困难
10	女	64	30.3	6	156	是	应用	40	3	4	无

病例	性别	年龄（岁）	身体质量指数 (kg/m²)	疝环直径(厘米)	手术时间 (分钟)	Nissen 胃底折叠术	补片	术中出血量 (毫升)	经口进食时间(天)	术后住院时间（天）	并发症
1	男	63	27.5	3	180	未行	未用	70	4	4	无
2	女	37	29.3	7	170	是	应用	80	5	3	无
3	男	51	26.8	5	130	是	应用	60	4	4	无
4	男	59	27.1	5	120	是	应用	60	3	3	无
5	女	71	31.1	6	145	是	应用	100	6	8	肺炎
6	男	68	29.3	5	115	是	应用	100	3	5	无
7	女	66	27.5	7	136	是	应用	70	3	5	无
8	男	59	26.5	3	126	未行	未用	20	2	5	无
9	男	68	29.8	7	140	是	应用	40	3	8	轻度吞咽困难
10	女	64	30.3	6	156	是	应用	40	3	4	无

GLQI 评分	典型消化道症状	生理功能状态	社会生活状态	心理精神状态	医学治疗压力	总分
术前	16.9±3.2	17.3±1.8	15.6±2.6	19.1±2.8	17.8±1.7	93±7.8
术后 3个月	22.1±1.8	21.9±1.4	20.7±2.2	22.1±3.1	23.2±1.4	124±8.8
术后 6个月	22.7±2.5	22.3±1.1	21±1.2	23.4±1.6	23.5±1.7	127±7.6
P1	＜0.05	＜0.05	＜0.05	＜0.05	＜0.05	＜0.05
P2	＜0.05	＜0.05	＜0.05	＜0.05	＜0.05	＜0.05
P3	0.885	0.612	0.453	0.571	0.771	0.663

GLQI 评分	典型消化道症状	生理功能状态	社会生活状态	心理精神状态	医学治疗压力	总分
术前	16.9±3.2	17.3±1.8	15.6±2.6	19.1±2.8	17.8±1.7	93±7.8
术后 3个月	22.1±1.8	21.9±1.4	20.7±2.2	22.1±3.1	23.2±1.4	124±8.8
术后 6个月	22.7±2.5	22.3±1.1	21±1.2	23.4±1.6	23.5±1.7	127±7.6
P1	＜0.05	＜0.05	＜0.05	＜0.05	＜0.05	＜0.05
P2	＜0.05	＜0.05	＜0.05	＜0.05	＜0.05	＜0.05
P3	0.885	0.612	0.453	0.571	0.771	0.663

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