Robotic versus laparoscopic Roux-en-Y gastric bypass (RYGB) in obese adults ages 18 to 65 years: a systematic review and economic analysis

Bailey, Jonathan G.; Hayden, Jill A.; Davis, Phil; Liu, Richard Y.; Haardt, David; Ellsmere, James

doi:10.1007/s00464-013-3217-8

Cited by 77 publications

(31 citation statements)

References 27 publications

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“…The use of robotic technology has been increasingly reported in bariatric surgery, including five systematic reviews [52][53][54][55][56]. The only procedure studied in any volume is the Roux-en-Y gastric bypass.…”

Section: Bariatric Surgerymentioning

confidence: 99%

SAGES TAVAC safety and effectiveness analysis: da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA)

et al. 2015

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Section: Bariatric Surgerymentioning

confidence: 99%

SAGES TAVAC safety and effectiveness analysis: da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA)

et al. 2015

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“…Lastly, costs evaluation was not discussed since this study was primarily designed to identify independent risk factors for postoperative complications after totally robotic RYGBP and not to be comparative with conventional laparoscopic gastric bypass. However, a recent systematic review of the literature concluded that complication rates did not differ significantly between robotic and laparoscopic RYGB, but the expected costs were greater for robotic RYGB [50]. Similarly, recent costs analysis in robotic hysterectomy showed that robotic surgery was not, from a hospital cost perspective, advantageous for benign hysterectomies [51,52].…”

Section: Discussionmentioning

confidence: 97%

“…However, the conventional transperitoneal laparoscopic approach remains the standard of care worldwide when performing gastric bypass (RYGBP) and its results should be used when evaluating the role of R-RYGBP [6][7][8][9][10][11]. As a majority of new available technologies, R-RYGBP has been adopted in some centers on the basis of large single-and multi-institutional retrospective experiences [3].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Postoperative Morbidity After Totally Robotic Gastric Bypass in 302 Consecutive Patients

Fantola

Nguyen-Thi

Reibel³

et al. 2014

OBES SURG

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“…The authors concluded that no evidence supported the use of the robot for more complex cases. Another review 217 reported comparable results between laparoscopic and robotic Roux-en-Y gastric bypass, but with higher costs associated with the latter.…”

Section: Miscellaneous Gastrointestinal Proceduresmentioning

confidence: 94%

Gastrointestinal robotic surgery: challenges and developments

Becchini¹,

Annecchiarico²,

Marino³

et al. 2015

RSRR

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Abstract:The rapid diffusion of new technologies in surgery, together with high expectations of both patients and the mass media, has led to many gastrointestinal procedures being approached using robots. Robotic technology seems to resolve many of the drawbacks of laparoscopic advanced procedures, such as anastomotic reconstructions, accurate lymphadenectomy, and vascular sutures. In addition, a deeper tridimensional steady vision with excellent high definition, the EndoWrist technology offering seven degrees of freedom, tremor filtration, scaled motion, optimal working ergonomics, and avoidance of the 'fulcrum effect', are the main strengths of the da Vinci ® system. The use of near-infrared technology and the possibility of tutoring through a double-console will most likely add many more advantages of this technology over laparoscopy alone. However, none of the gastrointestinal robotic interventions has reached a level of evidence-based efficacy that enables it to be routinely applied. The main limitations of robotic gastrointestinal procedures are represented by the learning curve, the higher costs of robotic surgery compared to traditional and laparoscopic surgery, and the longer operation times, including setup and organizational troubles. Moreover, while the limits of robotics for benign diseases are mainly represented by technical issues, oncologic outcomes remain the foundation of any procedures to cure malignancies, and long-term follow-up is still lacking. On the other hand, a word of caution should be presented on the adoption of robotics in too many surgical units without the correct and formal technical background and third-party control to guarantee the best outcomes for patients at minimum risk. Therefore, the robotic treatment of gastrointestinal diseases requires a thorough analysis of the published evidence, in order to determine the correct indications and patient selection. This review aims to examine the evidence for the use of robotic surgery in both malignancies and benign disease arising from the gastrointestinal area. Future developments in robotics and ongoing areas of research are also analyzed.

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Robotic versus laparoscopic Roux-en-Y gastric bypass (RYGB) in obese adults ages 18 to 65 years: a systematic review and economic analysis

Abstract: The complication rates did not differ significantly between robotic and laparoscopic RYGB, but the expected costs were greater for robotic RYGB. Further cost effectiveness analyses are recommended before adoption of a robotic approach to RYGB.

Cited by 77 publications

References 27 publications

SAGES TAVAC safety and effectiveness analysis: da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA)

SAGES TAVAC safety and effectiveness analysis: da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA)

Risk Factors for Postoperative Morbidity After Totally Robotic Gastric Bypass in 302 Consecutive Patients

Gastrointestinal robotic surgery: challenges and developments

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