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Robotic versus laparoscopic heller myotomy for esophageal achalasia: an updated systematic review and meta-analysis.


ABSTRACT:

Background

The surgical treatment for esophageal achalasia has evolved over the years, with laparoscopic Heller myotomy (LHM) and partial fundoplication becoming widely used worldwide. More recently, an increased interest in the robotic Heller myotomy (RHM) has arisen.

Purpose

Compare short-term and functional outcomes of RHM vs. LHM.

Methods

Systematic review and meta-analysis. PubMed, MEDLINE, Scopus, Web of Science, Cochrane Central Library, and ClinicalTrials.gov were queried. Primary outcome was esophageal perforation (EP). Risk ratio (RR), standardized mean difference (SMD), and 95% confidence intervals (95% CI) were effect size and relative inference measures. PROSPERO Registration Number: CRD42024512644.

Results

Fourteen observational studies (12962 pat

SUBMITTER: Aiolfi A 

PROVIDER: S-EPMC11832576 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature