Robotic Upper GI Surgery in London
Robotic upper gastrointestinal (GI) surgery is an advanced form of minimally invasive (keyhole) surgery used to treat conditions affecting the oesophagus, stomach and gallbladder.
Using robotic-assisted technology, procedures can be performed with enhanced precision, improved visualisation, and a more controlled, atraumatic surgical approach, designed to minimise tissue disruption and support faster recovery.
What is robotic upper GI surgery?
Robotic surgery is performed using the da Vinci surgical system, where the surgeon operates from a console controlling highly precise instruments.
This allows for:
- High-definition 3D visualisation
- Greater precision and control
- Fine, stable instrument movements
All procedures are fully controlled by the surgeon at all times.
What conditions can be treated with robotic upper GI surgery?
Robotic techniques are used to treat the whole range of upper GI conditions, including:
- Reflux (GORD)
- Revision Reflux Surgery
- Giant Hiatus hernia
- Gallstones
- Achalasia
- Oesophageal cancer
- Stomach cancer
- GIST
Including cancer within robotic surgery reflects the ability to perform complex, high-precision procedures where careful tissue handling is essential.
Robotic upper GI procedures
Robotic surgery can be used to perform several specialised procedures:
Robotic fundoplication is used to treat gastro-oesophageal reflux disease (GORD) by reinforcing the valve between the oesophagus and stomach. Using robotic-assisted techniques allows for precise dissection and suturing in a delicate anatomical area, supporting an atraumatic approach and improved control during surgery. This can be particularly beneficial in complex reflux cases or when long-standing symptoms are present.
Robotic hiatus hernia repair involves repositioning the stomach and repairing the diaphragm opening to treat hiatus hernia and associated reflux symptoms. The robotic approach provides enhanced visualisation and precision when working around the oesophagus, helping to minimise tissue trauma and improve surgical accuracy. It is often performed alongside fundoplication where reflux is present.
Robotic cholecystectomy is a minimally invasive procedure used to remove the gallbladder for the treatment of gallstones. The robotic system allows for controlled, precise movements and improved visualisation, supporting a more refined and atraumatic surgical technique. In selected patients, this approach may offer advantages in terms of precision and reduced impact on surrounding tissues.
Robotic Heller’s myotomy is performed to treat achalasia, a condition where the oesophagus does not move food properly into the stomach. The procedure involves carefully dividing the tight muscle at the lower end of the oesophagus. Robotic assistance allows for highly precise dissection in this sensitive area, helping to preserve surrounding structures while improving swallowing function.
Robotic oesophageal surgery is used in selected cases of oesophageal cancer and other complex oesophageal conditions. The robotic approach enables enhanced precision and control in procedures such as oesophagectomy, particularly where careful tissue handling is essential. This supports a more controlled and atraumatic surgical approach in complex cases.
Why robotic surgery?
Robotic surgery allows for a more controlled and precise approach, particularly in delicate anatomical areas.
Key benefits include:
- Enhanced precision and stability
- Improved visualisation with 3D imaging
- Reduced trauma to surrounding tissues
- Smaller incisions
- Faster recovery
This supports an atraumatic surgical philosophy, aiming to treat the condition effectively while minimising disruption to the body.
Laparoscopic vs Robotic upper GI surgery
Both robotic and laparoscopic techniques are minimally invasive and highly effective.
Laparoscopic surgery:
- Proven, widely used approach
- Direct control of instruments by the surgeon
- Effective for many standard procedures
Robotic surgery:
- Enhanced precision and range of motion
- Improved ergonomics and visualisation
- Particularly useful in complex or revisional cases
The choice between laparoscopic and robotic surgery depends on the condition, anatomy, and complexity of the case.
Atraumatic surgical approach
A key focus of modern upper GI surgery is to minimise surgical impact wherever possible.
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This includes:
- Gentle handling of tissues
- Precise dissection
- Avoiding unnecessary disruption to surrounding structures
Where appropriate, this approach helps:
- Reduce post-operative pain
- Improve recovery
- Preserve function
What to expect
A key focus of modern upper GI surgery is to minimise surgical impact wherever possible.
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This includes:
- A short hospital stay
- Early mobilisation
- Gradual return to normal activity
Recovery after robotic surgery
Recovery is typically faster compared to open surgery.
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Most patients:
- Resume light activities within a few days
- Return to normal routine within a few weeks
Why choose Mr Ash Rohatgi
Mr Ash Rohatgi is a Consultant Upper GI Surgeon in London with experience in managing oesophageal conditions, including cancer.
His approach focuses on:
Careful patient selection
Minimally invasive surgical techniques
Individualised treatment planning
Ashish is friendly, helpful and kind and went above and beyond my expectations in helping when my daughter was ill ( away at University). Sets a standard others should aim for. Highly professional and friendly
Book a consultation
If you are experiencing symptoms such as reflux, difficulty swallowing, or gallstone-related pain, a specialist assessment can help determine the most appropriate treatment. A consultation with Mr Ash Rohatgi includes a full evaluation, appropriate investigations, and a discussion of treatment options, including minimally invasive and robotic surgery where appropriate.
Frequently asked questions
It is a minimally invasive surgical technique using robotic assistance to improve precision and control.
Yes. It is a well-established technique used in selected cases, particularly where precision is important.
Both are effective. Robotic surgery may offer advantages in complex or cancer-related procedures.
Yes. Robotic techniques can be used in selected cases of oesophageal cancer and other complex conditions.
Suitability depends on the condition, complexity, and individual patient factors.
You can book a consultation online using the booking system or by calling directly. A specialist consultation will help determine the most appropriate treatment for your condition.
Consultation fees may vary depending on the type of appointment. For full details, please see the fees and services page or contact directly.
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Ashish is friendly, helpful and kind and went above and beyond my expectations in helping when my daughter was ill ( away at University). Sets a standard others should aim for. Highly professional and friendly
