Robotic-Assisted Versus Laparoscopic Revisional Bariatric Surgery: a Systematic Review and Meta-analysis on Perioperative Outcomes.


Journal

Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714

Informations de publication

Date de publication:
11 2021
Historique:
received: 06 06 2021
accepted: 11 08 2021
revised: 11 08 2021
pubmed: 20 8 2021
medline: 26 10 2021
entrez: 19 8 2021
Statut: ppublish

Résumé

This systematic review and meta-analysis investigated the role of robotic-assisted surgery in patients undergoing revisional bariatric surgery (RBS). According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a literature search of PubMed, Cochrane Library, Web of Science, and Google Scholar was performed: (("sleeve"AND "gastr*")OR "bariatric"OR "gastric bypass")AND("robot*"OR "DaVinci"OR "Da Vinci")AND("revision*"OR "conversion*"). In this review, six studies with 29,890 patients were included (2459 in the robotic group). No difference in postoperative complications (RR 1.070, 95%CI 0.930-1.231, p = 0.950), conversions to open surgery (RR 1.339, 95%CI 0.736-2.438, p = 0.339), length of stay (SMD - 0.041, 95%CI - 0.420-0.337, p = 0.831) or operative time (RR 0.219, 95%CI - 0.539-0.977, p = 0.571) was found. This systematic review and meta-analysis showed no significant advantage of robotic-assisted RBS; on the other hand, it showed a non-inferior efficacy compared to standard laparoscopy.

Identifiants

pubmed: 34410582
doi: 10.1007/s11695-021-05668-4
pii: 10.1007/s11695-021-05668-4
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

5022-5033

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

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Auteurs

Maria Vittoria Bertoni (MV)

Department of Surgery, Lugano Regional Hospital, via Tesserete 46, 6900, Lugano, Switzerland.

Michele Marengo (M)

Department of Surgery, Bellinzona e Valli Regional Hospital, via Ospedale 10, 6500, Bellinzona, Switzerland.

Fabio Garofalo (F)

Department of Surgery, Lugano Regional Hospital, via Tesserete 46, 6900, Lugano, Switzerland.

Francesco Volontè (F)

Department of Surgery, Lugano Regional Hospital, via Tesserete 46, 6900, Lugano, Switzerland.
Department of Surgery, Sant'Anna Clinic, Via Sant'Anna 1, 6924, Lugano, Switzerland.

Davide La Regina (D)

Department of Surgery, Bellinzona e Valli Regional Hospital, via Ospedale 10, 6500, Bellinzona, Switzerland.

Markus Gass (M)

Department of Surgery, Cantonal Hospital of Lucerne, Spitalstrasse , 6000, Lucerne , Switzerland.
Department of Health Sciences and Medicine, University of Lucerne, 6000, Lucerne, Switzerland.

Francesco Mongelli (F)

Department of Surgery, Lugano Regional Hospital, via Tesserete 46, 6900, Lugano, Switzerland. francesco.mongelli@mail.com.

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