Less Morbidity with Robot-Assisted Gastric Bypass Surgery than with Laparoscopic Surgery?
Adult
Body Mass Index
Female
Gastric Bypass
/ adverse effects
Humans
Laparoscopy
/ adverse effects
Length of Stay
Male
Middle Aged
Morbidity
Obesity, Morbid
/ surgery
Operative Time
Postoperative Complications
/ etiology
Reoperation
Retrospective Studies
Robotic Surgical Procedures
/ adverse effects
Treatment Outcome
Weight Loss
Gastric bypass
Manual anastomosis
Minimal access surgery
Robot-assisted surgery
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
pubmed:
18
10
2018
medline:
9
1
2020
entrez:
18
10
2018
Statut:
ppublish
Résumé
Although several studies have compared totally robot-assisted gastric bypass (RA-GB) to laparoscopic gastric bypass (L-GB), the clinical benefit of the robotic approach remains unclear. We compared perioperative outcomes of 82 consecutive patients undergoing RA-GB between 2013 and 2016 to 169 consecutive patients having undergone L-GB between 2009 and 2016. Secondary endpoints included duration of hospitalization, readmission rate, weight loss at 1 year, and the learning curve of RA-GB, assessed by operation times and complication rates. There were no statistically significant differences between groups concerning age (43.5 ± 11.2 vs. 42.2 ± 12.4 years), body mass index (42.4 ± 5.0 vs. 43.6 ± 7.2 kg/m In our experience, the robotic approach for gastric bypass was associated with fewer postoperative complications compared to traditional laparoscopic gastric bypass. Cost increment associated with RA-GB remains an important drawback that hampers its widespread.
Identifiants
pubmed: 30328002
doi: 10.1007/s11695-018-3545-9
pii: 10.1007/s11695-018-3545-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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