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Published on: September 28, 2019
Robotic-assisted diaphragmatic plication: Improving safety and effectiveness in the treatment of diaphragmatic
Savvas Lampridis1, I H D Saman Pradeep1, Andrea Billè1
1Department of Thoracic Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Background:
Diaphragmatic plication can be performed with various surgical approaches. The aim of this study was to assess the safety and effectiveness of robotic-assisted plication.
Methods:
We retrospectively reviewed consecutive patients who underwent diaphragmatic plication from 2017 to 2021.
Results:
Eighteen patients underwent 20 operations, 11 of which were performed with robotic-assisted thoracoscopic surgery (RATS) and 9 with open transthoracic approach. RATS was associated with shorter operating time (80 vs. 120 min; p = 0.04), less blood loss (20 vs. 100 ml; p = 0.01), shorter chest-drain duration (1 vs. 3 days; p = 0.01), and shorter length of stay (3 vs. 7 days; p = 0.04). The median grade in the Medical Research Council dyspnoea scale improved from four to two in both groups.
Conclusions:
Robotic-assisted diaphragmatic plication is a safe procedure that can significantly improve dyspnoea and is associated with shorter hospitalisation compared to open approach.
