Telerobotic-Assisted Antireflux Surgery: Nissen Fundoplication
We used robotic-assisted surgery and demonstrated the feasibility of having a standard robotic laparoscopic surgery without specific morbidity and within acceptable operative times. In its present configuration, the system seems to provide the greatest benefit for microsuturing within the abdomen or in very confined spaces. Improved ergonomic conditions and improved instrument dexterity at the level of the distal articulation appear to be of value in routine abdominal procedures. More research is needed for further improvement in tool design and optics arrangement. The robotic approach requires new operative strategies and modification of the pattern of trocar placement.
KeywordsConventional Laparoscopy Median Body Mass Index Needle Driver Robot Group Mona System
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