title: Evaluation of telesurgical (robotic) NISSEN fundoplication.
abstract: BACKGROUND
  The laparoscopic surgical approach has proven its benefit for the patient. There are however several shortcomings, which have triggered considerable research for improvement. One improvement may be the introduction of telesurgery by the interposition of a computer interface between surgeon and patient.
  
  
  METHODS
  A prospective randomized study was conducted in an advanced laparoscopic procedure, Nissen fundoplication. The control group underwent the conventional laparoscopic approach, while the investigational group underwent the telesurgical approach.
  
  
  RESULTS
  Feasibility was 100%. The procedure was more time consuming in the Telesurgical group, at all stages of the operation. Mortality was nil and morbidity was comparable in both groups.
  
  
  CONCLUSIONS
  The telesurgical approach is feasible in advanced laparoscopic procedures like Nissen fundoplication. At the present time there is however no obvious added benefit from this new technique.
authors.affiliation: Gastro Intestinal Surgery Department, CHU Saint-Pierre, 322, Rue Haute 1000, Brussels, Belgium. coelio@resulb.ulb.ac.be
authors.forename: G B
authors.initials: GB
authors.lastname: Cadière
authors.forename: J
authors.initials: J
authors.lastname: Himpens
authors.forename: M
authors.initials: M
authors.lastname: Vertruyen
authors.forename: J
authors.initials: J
authors.lastname: Bruyns
authors.forename: O
authors.initials: O
authors.lastname: Germay
authors.forename: G
authors.initials: G
authors.lastname: Leman
authors.forename: R
authors.initials: R
authors.lastname: Izizaw
mesh_terms: D000293:Adolescent; D000328:Adult; D005240:Feasibility Studies; D005260:Female; D018662:Fundoplication / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000592:standards; D008297:Male; D008875:Middle Aged; D019114:Remote Consultation / Q000379:methods / Q000592:standards; D012371:Robotics / Q000379:methods* / Q000592:standards; D017216:Telemedicine / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D013997:Time Factors; D016896:Treatment Outcome