Robotic-assisted diaphragmatic plication: Improving safety and effectiveness in the treatment of diaphragmatic paralysis.

BACKGROUND

Diaphragmatic plication can be performed with various surgical approaches. The aim of this study was to assess the safety and effectiveness of robotic-assisted plication.

METHODS

We retrospectively reviewed consecutive patients who underwent diaphragmatic plication from 2017 to 2021.

RESULTS

Eighteen patients underwent 20 operations, 11 of which were performed with robotic-assisted thoracoscopic surgery (RATS) and 9 with open transthoracic approach. RATS was associated with shorter operating time (80 vs. 120 min; p = 0.04), less blood loss (20 vs. 100 ml; p = 0.01), shorter chest-drain duration (1 vs. 3 days; p = 0.01), and shorter length of stay (3 vs. 7 days; p = 0.04). The median grade in the Medical Research Council dyspnoea scale improved from four to two in both groups.

CONCLUSIONS

Robotic-assisted diaphragmatic plication is a safe procedure that can significantly improve dyspnoea and is associated with shorter hospitalisation compared to open approach.