The Role of Robotic Surgery in the Management of Hiatal Hernias

Robotic surgery (RS) has recently become an increasingly preferred minimally invasive approach for hiatal hernia repair. This commentary discusses the efficacy of RS compared to laparoscopic surgery (LS) in light of current meta-analyses and retrospective studies. RS offers technical advantages such...

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Main Author: Adem AKÇAKAYA
Format: Article
Language:English
Published: Galenos Publishing House 2025-07-01
Series:Bezmiâlem Science
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Online Access:https://www.bezmialemscience.org/articles/the-role-of-robotic-surgery-in-the-management-of-hiatal-hernias/doi/bas.galenos.2025.80269
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author Adem AKÇAKAYA
author_facet Adem AKÇAKAYA
author_sort Adem AKÇAKAYA
collection DOAJ
description Robotic surgery (RS) has recently become an increasingly preferred minimally invasive approach for hiatal hernia repair. This commentary discusses the efficacy of RS compared to laparoscopic surgery (LS) in light of current meta-analyses and retrospective studies. RS offers technical advantages such as three-dimensional visualization, enhanced dexterity, and improved ergonomics, potentially providing superior precision for surgeons. Several studies have reported lower postoperative complication rates and, in some cases, shorter hospital stays in the RS group. However, operative times did not show a statistically significant difference between the two techniques. Large-scale meta-analyses indicated no clear clinical superiority of RS over LS, while costs associated with RS were significantly higher. Additionally, the retrospective nature of most studies and the heterogeneity in patient characteristics limit the generalizability of the findings. Despite its promising technical capabilities and increasing surgeon experience, further randomized controlled trials are necessary to establish the clinical benefits of RS. Nevertheless, RS represents a promising approach that may become more widely adopted in hiatal hernia surgery in the near future.
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spelling doaj-art-915d03093a034d86bb8a6b330f16c4b92025-08-20T03:58:32ZengGalenos Publishing HouseBezmiâlem Science2148-23732025-07-0113318018310.14235/bas.galenos.2025.80269The Role of Robotic Surgery in the Management of Hiatal HerniasAdem AKÇAKAYA0https://orcid.org/0000-0003-3116-7033Bezmialem Vakıf University Faculty of Medicine Department of General Surgery, İstanbul, TürkiyeRobotic surgery (RS) has recently become an increasingly preferred minimally invasive approach for hiatal hernia repair. This commentary discusses the efficacy of RS compared to laparoscopic surgery (LS) in light of current meta-analyses and retrospective studies. RS offers technical advantages such as three-dimensional visualization, enhanced dexterity, and improved ergonomics, potentially providing superior precision for surgeons. Several studies have reported lower postoperative complication rates and, in some cases, shorter hospital stays in the RS group. However, operative times did not show a statistically significant difference between the two techniques. Large-scale meta-analyses indicated no clear clinical superiority of RS over LS, while costs associated with RS were significantly higher. Additionally, the retrospective nature of most studies and the heterogeneity in patient characteristics limit the generalizability of the findings. Despite its promising technical capabilities and increasing surgeon experience, further randomized controlled trials are necessary to establish the clinical benefits of RS. Nevertheless, RS represents a promising approach that may become more widely adopted in hiatal hernia surgery in the near future.https://www.bezmialemscience.org/articles/the-role-of-robotic-surgery-in-the-management-of-hiatal-hernias/doi/bas.galenos.2025.80269robotic surgeryhiatal hernia repairlaparoscopic surgeryminimally invasive techniquespostoperative outcomes
spellingShingle Adem AKÇAKAYA
The Role of Robotic Surgery in the Management of Hiatal Hernias
Bezmiâlem Science
robotic surgery
hiatal hernia repair
laparoscopic surgery
minimally invasive techniques
postoperative outcomes
title The Role of Robotic Surgery in the Management of Hiatal Hernias
title_full The Role of Robotic Surgery in the Management of Hiatal Hernias
title_fullStr The Role of Robotic Surgery in the Management of Hiatal Hernias
title_full_unstemmed The Role of Robotic Surgery in the Management of Hiatal Hernias
title_short The Role of Robotic Surgery in the Management of Hiatal Hernias
title_sort role of robotic surgery in the management of hiatal hernias
topic robotic surgery
hiatal hernia repair
laparoscopic surgery
minimally invasive techniques
postoperative outcomes
url https://www.bezmialemscience.org/articles/the-role-of-robotic-surgery-in-the-management-of-hiatal-hernias/doi/bas.galenos.2025.80269
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