To compare the clinical outcomes between da Vinci robot-assisted surgery and traditional laparoscopic surgery for the treatment of hiatal hernia.

A retrospective analysis was conducted on the clinical data of 38 patients who underwent da Vinci robot-assisted surgery and 42 patients who underwent traditional laparoscopic surgery for hiatal hernia in Tianjin Nankai Hospital between December 2021 and December 2023. Compare the surgical situation, postoperative clinical endpoint indicators, and incidence of postoperative complications between two groups.

Compared with the traditional laparoscopic group, the da Vinci robot group had slightly longer operation time, which was statistically significant (P<0.05); there were no statistically significant differences in intraoperative blood loss, postoperative diet time, postoperative hospital stay, total hospitalization cost, and total hospitalization time between the two groups (all P>0.05).

Da Vinci robot-assisted surgery is a safe and effective treatment for hiatal hernia, and it shows no significant differences compared to traditional laparoscopic surgery in terms of intraoperative blood loss, postoperative diet time, postoperative hospital stay, total hospitalization cost, total hospitalization time, and postoperative complications.