Discussion

DR NINH NGUYEN (Orange, CA): The authors found that laparoscopic is the most cost-effective approach to diaphragmatic hernia repair, while the robotic approach affords no clinical benefit in outcomes and is associated with an increased length of stay and cost. The robotic approach for foregut surgery has been extensively examined in the literature, including hiatal hernia, bariatric surgery, and even Heller myotomy. These studies have uniformly found that robotic surgery improves visualization and ergonomics for the surgeon, with clinical outcomes equivalent to those of the laparoscopic approach, but at an increased cost.
Source: Journal of the American College of Surgeons - Category: Surgery Tags: Discussion Source Type: research