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A. Parisi Repair of hiatal hernia is recommended in symptomatic patients. Surgical strategies and the best approach that can permit a long term success are still under debate. Robotic surgery begins to play an important role in digestive surgery and several studies on the use of the robot for esophageal diseases have underlined the effectiveness and feasibility of this approach. The robotic system adds precision in the movements and greatly increases the comfort of the surgeon dealing with a delicate reconstructive phase.