成人机器人辅助食管裂孔疝修补抗反流手术中国专家共识（2024版）

Chinese expert consensus on robotic-assisted hiatal hernia repair with anti-reflux surgery in adults (2024 Edition)

摘要:

食管裂孔疝修补抗反流手术方式从传统开胸手术进入微创时代。近几年来，腹腔镜技术广泛应用于食管裂孔疝修补术中。机器人食管裂孔疝修补术是食管裂孔疝微创外科发展的重要趋势，近年来机器人食管裂孔疝修补术取得快速发展。但是目前没有明确指南用于临床工作中，为了进一步规范食管裂孔疝的机器人手术治疗，在2023版专家共识基础上，中国医师协会外科医师分会胃食管反流病专业专家组牵头，邀请国内相关领域专家对国内外有关文献进行检索，对热点及痛点问题进行讨论，制订了2024版专家共识。形成《成人机器人辅助食管裂孔疝修补抗反流手术中国专家共识（2024版）》，以期为进一步促进我国机器人食管裂孔疝手术的开展提供指导与参考。

Abstract:

The surgical approach for hiatal hernia repair with anti-reflux procedures has transitioned from traditional open thoracotomy to the era of minimally invasive techniques. In recent years, laparoscopic surgery has been widely applied in hiatal hernia repair. Robotic-assisted hiatal hernia repair represents an important trend in the development of minimally invasive surgery for this condition and has seen rapid progress in recent years. However, there is currently no definitive guideline for clinical practice. To further standardize the robotic surgical treatment of hiatal hernia, the Expert Working Group of Gastroesophageal Reflux Disease of Surgeons Society of Chinese Medical Doctor Association, building upon the 2023 consensus, took the lead in organizing domestic experts in related fields to review relevant literature from both China and abroad, discuss key issues and challenges, and formulate the 2024 edition of the expert consensus. This resulted in the publication of the “Chinese expert consensus on robotic-assisted hiatal hernia repair with anti-reflux surgery in adults (2024 Edition)”, which aims to provide guidance and reference for the continued advancement of robotic hiatal hernia surgery in China.