Robotic bariatric surgery: A general review of the current status

Jung, Minoa; Hagen, Monika; Buchs, Nicolas; Buehler, Leo Hans; Morel, Philippe

doi:10.1002/rcs.1834

Cited by 59 publications

(37 citation statements)

References 56 publications

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“…In recent years, robotic surgery has been utilized for many intraabdominal operations including bariatric surgery. Robotic surgery offers several theoretical advantages including enhanced three-dimensional imaging, greater dexterity, and precision in tissue manipulation [6]. The robotic approach was initially used for gastric bypass and biliopancreatic diversion [7], but there has been a recent increase in utilization of robotic sleeve gastrectomy (RSG).…”

mentioning

confidence: 99%

Robotic versus laparoscopic sleeve gastrectomy: a MBSAQIP analysis

Alizadeh

Inaba

et al. 2018

Surg Endosc

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mentioning

confidence: 99%

Robotic versus laparoscopic sleeve gastrectomy: a MBSAQIP analysis

Alizadeh

Inaba

et al. 2018

Surg Endosc

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“…Bariatric procedures are extremely common due to the rapidly increasing incidence of obesity throughout the world. Robotic Roux-en-Y gastric bypass was first reported in 1999 [32]. Early papers showed good outcomes and suggested a learning curve of about 10-15 procedures.…”

Section: Non-pancreatic Robotic Surgerymentioning

confidence: 99%

“…In the laparoscopic bypass procedure, the anastomoses are generally performed with a stapler but many surgeons use a sutured anastomosis with the robot because of enhanced suturing ability made possible by the robot [21]. A meta-analysis of laparoscopic versus robotic bariatric surgery has been reported [32]. The authors identified 14 comparative studies, and found great heterogeneity in operative details.…”

Section: Non-pancreatic Robotic Surgerymentioning

confidence: 99%

Robotic and laparoscopic surgery of the pancreas: an historical review

Lefor

2019

BMC biomed eng

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Surgery of the pancreas is a relatively new field, with operative series appearing only in the last 50 years. Surgery of the pancreas is technically challenging. The entire field of general surgery changed radically in 1987 with the introduction of the laparoscopic cholecystectomy. Minimally Invasive surgical techniques rapidly became utilized worldwide for gallbladder surgery and were then adapted to other abdominal operations. These techniques are used regularly for surgery of the pancreas including distal pancreatectomy and pancreatoduodenectomy. The progression from open surgery to laparoscopy to robotic surgery has occurred for many operations including adrenalectomy, thyroidectomy, colon resection, prostatectomy, gastrectomy and others. Data to show a benefit to the patient are scarce for robotic surgery, although both laparoscopic and robotic surgery of the pancreas have been shown not to be inferior with regard to major operative and oncologic outcomes. While there were serious concerns when laparoscopy was first used in patients with malignancies, robotic surgery has been used in many benign and malignant conditions with no obvious deterioration of outcomes. Robotic surgery for malignancies of the pancreas is well accepted and expanding to more centers. The importance of centers of excellence, surgeon experience supported by a codified mastery-based training program and international registries is widely accepted. Robotic pancreatic surgery is associated with slightly decreased blood loss and decreased length of stay compared to open surgery. Major oncologic outcomes appear to have been preserved, with some studies showing higher rates of R0 resection and tumor-free margins. Patients with lesions of the pancreas should find a surgeon they trust and do not need to be concerned with the operative approach used for their resection. The step-wise approach that has characterized the growth in robotic surgery of the pancreas, in contradistinction to the frenzy that accompanied the introduction of laparoscopic cholecystectomy, has allowed the identification of areas for improvement, many of which lie at the junction of engineering and medical practice. Refinements in robotic surgery depend on a partnership between engineers and clinicians.

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“…Laparoscopic procedures in the super morbidly obese can be physically challenging for the surgeon and for the equipment due to limited torque effect of instruments in patients with hepatomegaly, increased intraabdominal fat, and extremely thick abdominal walls. [1][2][3] Robotic surgical systems were introduced in 1997 to overcome the disadvantages of a traditional laparoscopic approach. The application of robotic surgery has increased significantly in the field of general surgery and has become more popular in bariatric procedures.…”

Section: Introductionmentioning

confidence: 99%

“…Horgan and Vanuno described the first Roux-en-Y gastric bypass (RYGB) performing by the robotic system in 2001, and Mohr and team reported the technique of a totally robotic RYGB with a single docking position in 2005. 1,[3][4][5][6][7] In this manuscript, we describe our initial experiences with a robotic approach to bariatric surgery at Siriraj Hospital, Bangkok, Thailand. We present our step-bystep single docking robotic approach to operate sleeve gastrectomy and Roux-en-Y gastric bypass by the da Vinci® Si robotic system (Intuitive Surgical, Sunnyvale, CA, USA).…”

Section: Introductionmentioning

confidence: 99%

The First Robotic Bariatric Surgery Performed in Thailand – Surgical Techniques and Review of the Literature

Suwatthanarak

2020

Smj

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Morbid obesity is associated with multiple life-threatening comorbidities. Bariatric surgery is the most effective intervention to achieve the long-term weight loss required to reverse many of these comorbid conditions. Laparoscopic bariatric surgery is the current gold standard approach; however the robotic approach has potential intraoperative and postoperative advantages that may be realized if limitations to instrument torque effect are overcome. We review the literature about the robotic bariatric surgery and describe our first robotic sleeve gastrectomy (RSG) and a single docking operative approach to robotic Roux-en-Y gastric bypass (RRYGB) in Siriraj Hospital, and also the first in Thailand. We demonstrate the operative room setup, the port sites, the technical details, and the key step illustrations, that both operative procedures were performed using the da Vinci® Si platform. According to the literature review, a robotic approach to bariatric surgery is an alternative option with comparable outcomes to laparoscopic approach and the potential for intraoperative and postoperative advantages. It is safe, feasible, and provides good clinical outcomes that are comparable to a conventional laparoscopic method.

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Robotic bariatric surgery: A general review of the current status

Abstract: Background: While conventional laparoscopy is the gold standard for almost all bariatric

Cited by 59 publications

References 56 publications

Robotic versus laparoscopic sleeve gastrectomy: a MBSAQIP analysis

Robotic versus laparoscopic sleeve gastrectomy: a MBSAQIP analysis

Robotic and laparoscopic surgery of the pancreas: an historical review

The First Robotic Bariatric Surgery Performed in Thailand – Surgical Techniques and Review of the Literature

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