Comparative analysis of robotic versus laparoscopic Roux-en-Y gastric bypass in severely obese patients

Laïnas, Panagiotis; Kassir, Radwan; Benois, Marine; Derienne, Joseph; Debs, Tarek; Safieddine, Maissa; Gugenheim, Jean; Dagher, Ibrahim; Amor, Imed Ben

doi:10.1007/s11701-020-01181-5

Cited by 10 publications

(2 citation statements)

References 32 publications

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“…Overall, 35 studies met our criteria (Fig. 1), and they contained 426,463 obese patients, including 398,169 patients who adopted LRYGB and 28,294 patients who adopted RRYGB 10–44 . 18 studies stated that they adopted robotic-assisted procedures, and 7 studies adopted full robotic procedures.…”

Section: Resultsmentioning

confidence: 99%

Primary Robotic Versus Conventional Laparoscopic Roux-en-Y Gastric Bypass in Morbidly Obese Patients: A Systematic Review and Meta-Analysis

Du,

Shen,

et al. 2024

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background: Robotic Roux-en-Y gastric bypass (RRYGB) and conventional laparoscopic Roux-en-Y gastric bypass (LRYGB) are commonly performed as primary bariatric procedures. The aim of this article was to assess the role of RRYGB in patients undergoing primary bariatric procedures. Methods: All of the qualified studies were selected from the PubMed, Embase, and Web of Science databases, etc. We mainly compared the outcomes and safety between RRYGB and LRYGB. The outcomes evaluation included surgical effect and surgical safety. Result: In total, 35 studies containing 426,463 patients were selected. The mortalities of patients adopting these 2 bariatric procedures were similar (RRYGB: 59/28,023, 0.21%; LRYGB: 612/397,945, 0.15%). We found no significant difference between RRYGB and LRYGB in the incidence of postoperative complications (30-day: OR=1.06, P=0.18; 1-y: OR=1.06, P=0.92). The incidence of 30-day readmission after the operation was higher in RRYGB patients (OR=1.24, P=0.003). However, we found that the RRYGB group had a lower incidence of anastomotic stricture 1 year after the operation when compared with LRYGB (OR=0.35, P=0.0004). The 1-year %EBMIL of these 2 groups was similar (78.53% vs. 76.02%). There was no significant difference in length of hospital stay (LOS) (WMD=−0.03d, P=0.59), conversion rate (OR=0.84, P=0.75), or anastomotic leak (OR=1.00, P=0.99) between these 2 groups. The mean hospital charges were higher in the RRYGB group ($11234.75 vs. $9468.58). Conclusion: This systematic review and meta-analysis showed no significant advantage of RRYGB in surgical effect or reduction of intraoperative complications. RRYGB may reduce the incidence of some postoperative long-term complications. The mean hospital charges of RRYGB were higher.

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Section: Resultsmentioning

confidence: 99%

Primary Robotic Versus Conventional Laparoscopic Roux-en-Y Gastric Bypass in Morbidly Obese Patients: A Systematic Review and Meta-Analysis

Du,

Shen,

et al. 2024

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…In the case of new technology, such as robotic surgery, studies showing modest benefits are frequent, and they rarely include the investment required, such as capital purchase, maintenance, and training [ 63 , 64 ]. As stated some years ago “As the use of robotic technology in colon surgery continues to evolve, critical appraisal of the benefits offered in comparison with the resources consumed is required.” [ 65 ].…”

Section: Evidence Of Benefitmentioning

confidence: 99%

The Hidden Pandemic: the Cost of Postoperative Complications

Ludbrook

2021

Curr Anesthesiol Rep

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A fully stapled technique for gastrojejunal anastomosis creation in robotic Roux-en-Y gastric bypass

Prager

Huff²,

Alfieri³

et al. 2022

Langenbecks Arch Surg

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Comparative analysis of robotic versus laparoscopic Roux-en-Y gastric bypass in severely obese patients

Cited by 10 publications

References 32 publications

Primary Robotic Versus Conventional Laparoscopic Roux-en-Y Gastric Bypass in Morbidly Obese Patients: A Systematic Review and Meta-Analysis

Primary Robotic Versus Conventional Laparoscopic Roux-en-Y Gastric Bypass in Morbidly Obese Patients: A Systematic Review and Meta-Analysis

The Hidden Pandemic: the Cost of Postoperative Complications

A fully stapled technique for gastrojejunal anastomosis creation in robotic Roux-en-Y gastric bypass

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