Robotic-Assisted Bariatric Surgery

Garza, Ulises; Echeverría, Ángela; Galvani, Carlos

doi:10.5772/34993

Cited by 3 publications

(4 citation statements)

References 33 publications

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“…5 cm proximal to the anastomosis, an antireflux longitudinal valve is fashioned with suture stitches 1 cm apart from each other. In USA the RARYGB represent the first line choice of bariatric surgery, but because of its “complexity”, this operation has always been challenged by alternative surgical procedures [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Recently few case series on this technique were published [ 19 , 20 ]. Robotic approach was demonstrated associating with shorter learning curve compared to the traditional laparoscopic techniques [ 37 ]. A poster presented in by Miller et al at the annual meeting of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) compared 277 laparoscopic sleeve Gastrectomy (LSG) to 40 RSG.…”

Section: Discussionmentioning

confidence: 99%

“…According to our experience the major strength of the robotic surgery is strongly facilitating some of the surgical steps (gastro-jejunostomy and jejunojejunostomy anastomosis in the robotic Roux-en-Y gastric bypass or the vertical gastric resection in the robotic sleeve gastrectomy). According to our experience the major disadvantage of the robotic bariatric surgery “still remains the high operational and acquisition cost of the system” [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

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Current status of robotic bariatric surgery: a systematic review

et al. 2013

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BackgroundBariatric surgery is an effective treatment to obtain weight loss in severely obese patients. The feasibility and safety of bariatric robotic surgery is the topic of this review.MethodsA search was performed on PubMed, Cochrane Central Register of Controlled Trials, BioMed Central, and Web of Science.ResultsTwenty-two studies were included. Anastomotic leak rate was 8.51% in biliopancreatic diversion. 30-day reoperation rate was 1.14% in Roux-en-Y gastric bypass and 1.16% in sleeve gastrectomy. Major complication rate in Roux-en-Y gastric bypass resulted higher than in sleeve gastrectomy ( 4,26% vs. 1,2%). The mean hospital stay was longer in Roux-en-Y gastric bypass (range 2.6-7.4 days).ConclusionsThe major limitation of our analysis is due to the small number and the low quality of the studies, the small sample size, heterogeneity of the enrolled patients and the lack of data from metabolic and bariatric outcomes. Despite the use of the robot, the majority of these cases are completed with stapled anastomosis. The assumption that robotic surgery is superior in complex cases is not supported by the available present evidence. The major strength of the robotic surgery is strongly facilitating some of the surgical steps (gastro-jejunostomy and jejunojejunostomy anastomosis in the robotic Roux-en-Y gastric bypass or the vertical gastric resection in the robotic sleeve gastrectomy).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Current status of robotic bariatric surgery: a systematic review

et al. 2013

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“…Surgical treatment of obesity is an effective therapy, especially for severe obesity [ 3 ], which induces the sustained loss of weight and reduction of comorbidities [ 4 – 7 ]. Robot-assisted surgery brings the benefits of minimally invasive surgery to the weight-loss surgery [ 8 ]. The da Vinci operating robot was approved by FDA in 2000, and currently is widely applied in bariatric surgery [ 9 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients

Chen,

Jiang,

Zhong

et al. 2023

BMC Surg

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Objective To analyze the effect of a new type of tension-reduced suture named “double W tension-reduced suture technique” on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients. Methods 40 abdominal incisions following the da Vinci robot-assisted gastrectomy on severely obese patients from September 1st, 2021 to March 1st, 2022 were comprised in the study. 20 incisions were closed by the conventional full-thickness surgical suture as the control group, and 20 incisions were sewn up by double W tension-reduced suture as the double W group. The scars were assessed at the 1-month follow-up visit using the Vancouver scar scale (VSS), ultrasound and patient satisfaction. Meanwhile, digital photographs of scars were taken as well. Results The VSS score was 6.80 ± 2.16 in the control group, while that of the double W group was 2.60 ± 1.89. The difference between groups was significant. Digital photographs showed that the scar color was not only light and close to the skin color, but also flat and soft in the double W group. Ultrasound showed that the fibers of subcutaneous tissue in the double W group were arranged neatly, the ultrasonic signal intensity was relatively uniform, and the tunnel was small without obvious lacunae. More patients were satisfied and very satisfied with scars in the double W group. Conclusion Double W tension-reduced suture technique could significantly improve the appearance and reduce comorbidities of scars following the da Vinci robot-assisted gastrectomy for severely obese patients.

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