{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:29:13Z","timestamp":1793039353282,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,6,29]],"date-time":"2018-06-29T00:00:00Z","timestamp":1530230400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,6,29]],"date-time":"2018-06-29T00:00:00Z","timestamp":1530230400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic reoperative anti\u2010reflux surgery (ARS) has a significantly higher morbidity than laparoscopic primary ARS; however, it is not known whether the same pattern exists within the robotic approach. We aimed to evaluate the safety and efficacy of robotic reoperative ARS in comparison with primary robotic ARS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of patients undergoing primary or reoperative robotic ARS at a tertiary referral center between 2012 and 2017 was performed. Perioperative outcomes and long\u2010term symptom resolution were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 200 patients were included (38 reoperative and 162 primary ARS). Baseline characteristics were comparable across groups. Seven (18.4%) of the reoperative patients had two or more prior foregut operations. Patients in the reoperative group had a longer operative time (226 vs. 180\u00a0min, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). There were no conversions to open technique, and one patient in the reoperative group (2.6%) had an intraoperative perforation. Twenty of the 38 reoperative patients (52.6%) were discharged within 24 h as compared to 109\/162 primary patients (64.9%) (<jats:italic>p<\/jats:italic>\u2009=\u20090.09). The readmission rate and postoperative complication rates were 6 and 3%, respectively, and did not differ between groups. At a mean follow\u2010up of 1 year, complete or partial resolution of preoperative symptoms was achieved in 97% of primary patients and 100% of reoperative patients (<jats:italic>p<\/jats:italic>\u2009=\u20090.4).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The robotic approach allows for minimal morbidity, short length of stay, and excellent functional outcomes in patients undergoing reoperative ARS when compared to patients undergoing primary ARS.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-018-4708-5","type":"journal-article","created":{"date-parts":[[2018,6,29]],"date-time":"2018-06-29T14:09:14Z","timestamp":1530281354000},"page":"4014-4021","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Robotic Reoperative Anti\u2010reflux Surgery: Low Perioperative Morbidity and High Symptom Resolution"],"prefix":"10.1002","volume":"42","author":[{"given":"Adham","family":"Elmously","sequence":"first","affiliation":[{"name":"Department of Surgery New York Presbyterian Hospital \u2013 Weill Cornell Medicine 1300 York Avenue, Suite A1027 10065 New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine D.","family":"Gray","sequence":"additional","affiliation":[{"name":"Department of Surgery New York Presbyterian Hospital \u2013 Weill Cornell Medicine 1300 York Avenue, Suite A1027 10065 New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy M.","family":"Ullmann","sequence":"additional","affiliation":[{"name":"Department of Surgery New York Presbyterian Hospital \u2013 Weill Cornell Medicine 1300 York Avenue, Suite A1027 10065 New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Thomas J.","family":"Fahey","sequence":"additional","affiliation":[{"name":"Department of Surgery New York Presbyterian Hospital \u2013 Weill Cornell Medicine 1300 York Avenue, Suite A1027 10065 New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheguevara","family":"Afaneh","sequence":"additional","affiliation":[{"name":"Department of Surgery New York Presbyterian Hospital \u2013 Weill Cornell Medicine 1300 York Avenue, Suite A1027 10065 New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasa","family":"Zarnegar","sequence":"additional","affiliation":[{"name":"Department of Surgery New York Presbyterian Hospital \u2013 Weill Cornell Medicine 1300 York Avenue, Suite A1027 10065 New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,29]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810421"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010198607000\u201000002"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(02)01604\u20106"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.0007\u20101323.2002.02074.x"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.02.088"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010011\u20101250\u20100"},{"key":"e_1_2_8_8_2","first-page":"298","article-title":"Clinical, radiological and functional results of remedial antireflux operations","volume":"78","author":"Collard JM","year":"1993","journal-title":"Int Surg"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0002\u20109610(99)80070\u20101"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010010\u20101254\u20100"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2007.50"},{"key":"e_1_2_8_12_2","unstructured":"SinghalS KirkpatrickDR MasudaTet al. 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