A comparative retrospective study of robotic sleeve gastrectomy vs robotic gastric bypass

作者：Kosanovic Radomir; Romero Rey Jesus; Donkor Charan; Sarasua Armando; Rabaza Jorge Rafael; Gonzalez Anthony Michael^*

来源：International Journal of Medical Robotics and Computer Assisted Surgery, 2015, 11(3): 275-283.

DOI：10.1002/rcs.1621

• robotic
• bypass
• sleeve
• gastric
• bariatric
• surgery

BackgroundThe introduction of the robotic platform to bariatric surgery has brought forth a novel approach, with modifications to the standard laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (LGB). The purpose of this study was to match robotic gastric bypass (RGB) vs robotic sleeve gastrectomy (RSG) and compare them to those observed with the laparoscopic platform.
MethodsA retrospective data collection of RSGs and RGBs from a single institution was performed. Groups were compared.
ResultsThis study included 134 RSG and 165 RGB patients. RGB has a longer surgical time (p<0.001) and a higher incidence of long-term complications (p=0.005) but similar lengths of hospital stay (p=0.093), rate of perioperative complications (p=0.487) and EWL% at 1year of follow-up compared to RSG.
ConclusionsRSGs had shorter surgical times and a lower incidence of long-term complications when compared with RGBs. These results appear to be similar to those studies reporting the laparoscopic approach.

• 出版日期2015-9