{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:43:42Z","timestamp":1792651422732,"version":"4.5.0"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T00:00:00Z","timestamp":1618185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Robotic\u2010assisted laparoscopic Heller myotomy has been proposed as an alternative minimally invasive approach to traditional laparoscopy for the treatment of achalasia. This systematic review aims to compare the safety and post\u2010operative outcomes of the two procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Systematic literature search was performed in MEDLINE through Ovid, Scopus and Cochrane to identify clinical trials and retrospective analyses. Outcome measures used for meta\u2010analysis included operative time, estimated blood loss, length of stay, 30\u2010day readmission, intraoperative oesophageal perforation, conversion, mortality, morbidity, symptom relief beyond 1\u00a0year, re\u2010intervention for recurrent symptoms and gastroesophageal reflux during follow\u2010up rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven studies were selected with a total of 3214 patients. The only factor to be statistically different is intraoperative oesophageal perforation rate, which is lower in robotic\u2010assisted Heller myotomy compared to laparoscopic (odds ratio\u00a0=\u00a00.1139; 95% confidence interval [0.0334, 0.3887]; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results suggest a robotic approach is associated with improved patient safety.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2253","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T12:00:09Z","timestamp":1616587209000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Laparoscopic versus robotic\u2010assisted Heller myotomy for the treatment of achalasia: A systematic review with meta\u2010analysis"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7738-1951","authenticated-orcid":false,"given":"Julia","family":"Xie","sequence":"first","affiliation":[{"name":"Division of General, Minimally Invasive\u00a0&amp; Robotic Surgery University of Illinois Hospital\u00a0&amp; Health Sciences System  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maansi S.","family":"Vatsan","sequence":"additional","affiliation":[{"name":"Division of General, Minimally Invasive\u00a0&amp; Robotic Surgery University of Illinois Hospital\u00a0&amp; Health Sciences System  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6381-3728","authenticated-orcid":false,"given":"Antonio","family":"Gangemi","sequence":"additional","affiliation":[{"name":"Division of General, Minimally Invasive\u00a0&amp; Robotic Surgery University of Illinois Hospital\u00a0&amp; 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