@article{article_1053452, title={Effectiveness of Robotic Assisted Laparoscopic Nissen fundoplication in neurologically impaired children with severe gastroesophageal reflux disease}, journal={Deneysel ve Klinik Tıp Dergisi}, volume={39}, pages={675–680}, year={2022}, author={Bahadır, Gökhan Berktuğ and Arslan, Melike and Çalışkan, Mehmet Bahadır and Ulubulut, Kadri Cemil and Balam, Necati and Sürer, İlhami and Demirbağ, Suzi}, keywords={Fundoplication, gastroesophageal reflux, laparoscopy, neurologic disorders, robotic surgical procedures}, abstract={Background: Laparoscopic Nissen Fundoplication is still the most widely used surgical technique in the treatment of gastroesophageal reflux disease (GERD) in children. However, there are some technical and anatomical difficulties in the treatment of reflux in NIC with GERD. All these difficulties lead to the high rate of surgical failure observed in neurological impaired children (NIC). Robotic surgery provides a number of advantages in overcoming these difficulties. This study is the first study to evaluate the effectiveness of robotic surgery in the treatment of GERD in children with severe or moderate neurological impairments reported in our country. Patients and Methods: This study was performed between January 2018 and February 2020. The records of eleven children with severe or moderate neurological problems who were treated by using robotically assisted laparoscopic Nissen fundoplication (RALNF) technique were evaluated for demographic data, anesthesia time, pre-console time, console time, and postoperative complications retrospectively. Results: Nine of the patients (81.8%) had serious neurological problems and two patients had moderate neurological problems. All of the patients applied to the emergency department at different times due to recurrent lung infections. While the first RALNF console time was 240 minutes, it was determined that this time was reduced to 45 minutes. None of the patients had complications related to the surgical procedure, but four of 11 patients required postoperative intensive care unit for some problems NIC depended requirements up to two months. Conclusion: RALNF can be safely applied in pediatric patients with GERD with severe and moderate NIC.}, number={3}, publisher={Ondokuz Mayıs University}