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<p>Robotic surgical platforms facilitate accurate dissection with the help of high-definition 3D camera and greater freedom of manoeuvrability of robotic instruments. Aim was to evaluate short-term results (mucosal integrity and hospital stay) and long-term outcomes [symptom improvement and Quality of life (QoL)] of patients undergoing Robotic Heller’s Cardiomyotomy (RHC). A retrospective analysis of data collected prospectively of achalasia patients undergoing primary RHC between July 2009 and June 2025. Information collected were demography, Eckardt symptom score (ESS), QoL scores with SF-36, type and stage of achalasia, peri and post-operative data. Sixty-eight patients underwent RHC (33-males). Median age was 46 years (18–82). Median length of myotomy was 8&#xa0;cm (7–11). Median length of hospital stay was 2 days (1–28). One patient had aspiration pneumonia and DVT, and another had a postoperative leak needing emergency surgery. There was no mortality. Median follow-up was 102 months (3- 192). Twenty-one (31%) needed further intervention during follow-up. There was a significant improvement in ESS and in all components of QoL (<i>p</i> &lt; 0.05). RHC can be performed very accurately with a very low leak rate. RHC improves symptoms and quality of life and is an alternative to Laparoscopic Heller’s Cardiomyotomy or per-oral endoscopic myotomy (POEM) in the Modern Era.</p>

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Robotic Heller’s cardiomyotomy for achalasia cardia with a long term follow up: a 16-year experience in a single institution

  • 期刊论文

  • 发表日期：

    2025年11月18日

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  • HP Priyantha Siriwardana,
  • Frances Kiernan,
  • Bruno Lorenzi,
  • Etsuro Yazaki,
  • Geoff Pratt,
  • Abhishek Kapila,
  • Mohammad Qamruddin,
  • Michael Harvey,
  • Sritharan Kadirkamanathan

摘要

Robotic surgical platforms facilitate accurate dissection with the help of high-definition 3D camera and greater freedom of manoeuvrability of robotic instruments. Aim was to evaluate short-term results (mucosal integrity and hospital stay) and long-term outcomes [symptom improvement and Quality of life (QoL)] of patients undergoing Robotic Heller’s Cardiomyotomy (RHC). A retrospective analysis of data collected prospectively of achalasia patients undergoing primary RHC between July 2009 and June 2025. Information collected were demography, Eckardt symptom score (ESS), QoL scores with SF-36, type and stage of achalasia, peri and post-operative data. Sixty-eight patients underwent RHC (33-males). Median age was 46 years (18–82). Median length of myotomy was 8 cm (7–11). Median length of hospital stay was 2 days (1–28). One patient had aspiration pneumonia and DVT, and another had a postoperative leak needing emergency surgery. There was no mortality. Median follow-up was 102 months (3- 192). Twenty-one (31%) needed further intervention during follow-up. There was a significant improvement in ESS and in all components of QoL (p < 0.05). RHC can be performed very accurately with a very low leak rate. RHC improves symptoms and quality of life and is an alternative to Laparoscopic Heller’s Cardiomyotomy or per-oral endoscopic myotomy (POEM) in the Modern Era.