Comparison of robotic revisional weight loss surgery and laparoscopic revisional weight loss surgery using the MBSAQIP database

Clapp, Benjamin; Liggett, Evan; Jones, Robert; Lodeiro, Carlos; Dodoo, Christopher; Tyroch, Alan

doi:10.1016/j.soard.2019.03.022

Cited by 27 publications

(5 citation statements)

References 19 publications

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“…Clapp et al ( 33 ) systematically analyzed revisional weight loss robotic surgery from the MBSAQIP database spanning from 2015 to 2016 and compared them with laparoscopic revisional procedures. One thousand nine hundred twenty-nine robotic procedures and 35,998 laparoscopic revisional procedures were found.…”

Section: Revisional Surgerymentioning

confidence: 99%

Controversial Role of Robot in Primary and Revisional Bariatric Surgery Procedures: Review of the Literature and Personal Experience

et al. 2022

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Laparoscopy is the surgical standard of care for bariatric procedures; however, during the last two decades, the robotic approach has gained increasing interest. It is currently considered a safe and effective alternative to laparoscopy. This literature review investigates the role of the robotic approach for primary and revisional bariatric procedures, with the particular aim of comparing this technique with the standard-of-care laparoscopic approach. The feasibility of robotic dissection and suturing could have potential advantages: robotics may prevent the risk of leak and bleeding and other surgical complications, determining potential benefits in terms of operative time, length of hospital stay, and learning curve. Considering primary procedures, the literature reveals no advantages in robotic versus the laparoscopic approach for adjustable gastric banding and sleeve gastrectomy. Robotic Roux-en-Y gastric bypass is associated with a longer operative time and a shorter hospital length of stay than laparoscopy. The robotic approach in revisional surgery has been proven to be safe and effective. Despite the longer operative time, the robotic platform could achieve a lower bleeding rate compared with laparoscopy. The surgeon’s selection criteria related to referrals to the robotic approach of difficult-perceived cases could represent a bias. In conclusion, robotic surgery can be considered a safe and effective approach in both primary and revisional bariatric surgery, despite the lack of evidence to support its routine use in primary bariatric surgery. However, in revisional bariatric surgery and in surgical complex procedures, the robotic approach could have potential benefits in terms of surgical complications and learning curves.

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Section: Revisional Surgerymentioning

confidence: 99%

Controversial Role of Robot in Primary and Revisional Bariatric Surgery Procedures: Review of the Literature and Personal Experience

et al. 2022

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“…The only significant differences noted between the two groups were the operative time and length of stay, which were both increased in the robotic group. They concluded that the robotic approach is as safe as the well-known laparoscopic approach [89]. The recent systematic review and meta-analysis by Bertoni et al showed comparable results in comparing postoperative complications, conversions, length of stay and operative time between the laparoscopic and robotic approach, concluding that while the robotic RBS had no significant advantage over laparoscopic RBS in terms of those variables, the robotic approach did show an equivalent safety and efficacy profile [7].…”

Section: Laparoscopic Versus Robotic Approachmentioning

confidence: 98%

The Trajectory of Revisional Bariatric Surgery: Open to Laparoscopic to Robotic

Jawhar,

Sample,

Salame

et al. 2024

JCM

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Metabolic and bariatric surgery (MBS) is the most effective therapeutic intervention for patients with obesity, with sleeve gastrectomy (SG) being the most commonly performed primary MBS procedure. Long-term studies have demonstrated that 15–20% of patients require revisional bariatric surgery (RBS) due to weight-related issues or surgical complications. Despite the gold standard being laparoscopic revision, there are other available approaches such as open or robotic-assisted. An extensive literature review was performed for articles from their inception to February 2024. A descriptive review of MBS procedures (SG, Roux-en-Y gastric bypass (RYGB), single anastomosis duodeno-ileostomy (SADI) and biliopancreatic diversion-duodenal switch (BPD-DS)) was carried out to report and compare outcomes between primary and revisional bariatric surgery. A similar review was conducted to compare outcomes of revisional approaches (open, laparoscopic, robotic). RYGB remains the dominant RBS with a similar safety profile compared to revisional SADI and BPD-DS. In terms of the RBS surgical approach, all three options showed comparable short and long-term outcomes, with robotic RBS being associated with longer operative time and variable length of stay. Additional long-term studies are required to further validate our conclusions.

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“…The Newcastle-Ottawa quality assessment scale (NOS) 7 in Table 1 [3,[6][7][8][9][10][11][12][13][14][15] was used as an evaluation tool to assess nonrandomized controlled trials (non-RCTs). This scale ranges from 0 to 9 stars.…”

Section: Quality and Publication Bias Evaluationmentioning

confidence: 99%

“…These studies were published between 2013 and 2022 and originated in the United States, Germany, Italy, and Switzerland. Table 2 [3,[6][7][8][9][10][11][12][13][14][15] depicts individual study characteristics.…”

Section: Overview Of Article Selectionmentioning

confidence: 99%

Robotic versus laparoscopic revisional bariatric surgeries: a systematic review and meta-analysis

Ataya,

El Bourji,

Bsat

et al. 2023

J Minim Invasive Surg

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Purpose In recent years, the need for revisional bariatric surgery (RBS) procedures has experienced a noteworthy surge to confront complexities and weight recidivism. Despite being a subject of controversy for many, the utilization of the Da Vinci robotic platform (Intuitive Surgical, Inc.) may present benefits in RBS. This study aimed to evaluate the outcomes of robotic RBS in comparison to Laparoscopic RBS. Methods A meticulous and thorough analysis was ensured through a comprehensive exploration of the literature, which included PubMed, Medline, Scopus, and Cochrane. This exploration was conducted in adherence to the directives outlined in the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The Newcastle-Ottawa scale was used for quality assessment. Results A total of 11 studies were included in this meta-analysis, comprising 55,889 in the laparoscopic group and 5,809 in the robotic group. No significant differences were observed in the leak, bleeding, operative time, or length of stay across both groups. However, the robotic group showed higher rates of conversion to open surgery (odds ratio [OR], 0.65; 95% confidence interval [CI], 0.53–0.79; p < 0.0001; I 2 = 0%), reoperation (OR, 0.70; 95% CI, 0.57–0.87; p = 0.0009; I 2 = 6%), and readmission (higher rate of readmission in the robotic group; OR, 0.76; 95% CI, 0.62–0.92; p = 0.005; I 2 = 30%) Conclusion Robotic-assisted bariatric surgery has no significant advantage over conventional laparoscopic surgery. Further research is warranted to explore and evaluate surgeons’ methodology and proficiency differences.

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Comparison of robotic revisional weight loss surgery and laparoscopic revisional weight loss surgery using the MBSAQIP database

Cited by 27 publications

References 19 publications

Controversial Role of Robot in Primary and Revisional Bariatric Surgery Procedures: Review of the Literature and Personal Experience

Controversial Role of Robot in Primary and Revisional Bariatric Surgery Procedures: Review of the Literature and Personal Experience

The Trajectory of Revisional Bariatric Surgery: Open to Laparoscopic to Robotic

Robotic versus laparoscopic revisional bariatric surgeries: a systematic review and meta-analysis

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