Less Morbidity with Robot-Assisted Gastric Bypass Surgery than with Laparoscopic Surgery? View Full Text


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Article Info

DATE

2019-02

AUTHORS

J. Cahais, R. M. Lupinacci, O. Oberlin, N. Goasguen, K. Zuber, A. Valverde

ABSTRACT

INTRODUCTION: Although several studies have compared totally robot-assisted gastric bypass (RA-GB) to laparoscopic gastric bypass (L-GB), the clinical benefit of the robotic approach remains unclear. MATERIALS AND METHODS: We compared perioperative outcomes of 82 consecutive patients undergoing RA-GB between 2013 and 2016 to 169 consecutive patients having undergone L-GB between 2009 and 2016. Secondary endpoints included duration of hospitalization, readmission rate, weight loss at 1 year, and the learning curve of RA-GB, assessed by operation times and complication rates. RESULTS: There were no statistically significant differences between groups concerning age (43.5 ± 11.2 vs. 42.2 ± 12.4 years), body mass index (42.4 ± 5.0 vs. 43.6 ± 7.2 kg/m2), or comorbidities. The rate of revision surgery was higher in L-GB group without reaching statistical significance. No statistically significant difference was observed for duration of operation (134 ± 35 vs. 135 ± 37 min), readmission rate at 90 days (4.9% vs. 8.9%), or percentage of excess weight loss at 1 year (RA-GB vs. L-GB) (76.8% ± 20.5 vs. 73.1% ± 23.5). There were fewer statistically significant complications overall in RA-GB (9.8% vs. 21.9%, p = 0.019). Median duration of hospital stay was shorter for RA-GB (3 vs. 4 days, p < 0.0001). The mean duration of operation for RA-GB decreased from 153 min in 2014 to 122 min in 2016; p = 0.004. CONCLUSION: In our experience, the robotic approach for gastric bypass was associated with fewer postoperative complications compared to traditional laparoscopic gastric bypass. Cost increment associated with RA-GB remains an important drawback that hampers its widespread. More... »

PAGES

1-7

References to SciGraph publications

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11695-018-3545-9

    DOI

    http://dx.doi.org/10.1007/s11695-018-3545-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1107667723

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30328002


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        "description": "INTRODUCTION: Although several studies have compared totally robot-assisted gastric bypass (RA-GB) to laparoscopic gastric bypass (L-GB), the clinical benefit of the robotic approach remains unclear.\nMATERIALS AND METHODS: We compared perioperative outcomes of 82 consecutive patients undergoing RA-GB between 2013 and 2016 to 169 consecutive patients having undergone L-GB between 2009 and 2016. Secondary endpoints included duration of hospitalization, readmission rate, weight loss at 1\u00a0year, and the learning curve of RA-GB, assessed by operation times and complication rates.\nRESULTS: There were no statistically significant differences between groups concerning age (43.5\u2009\u00b1\u200911.2 vs. 42.2\u2009\u00b1\u200912.4\u00a0years), body mass index (42.4\u2009\u00b1\u20095.0 vs. 43.6\u2009\u00b1\u20097.2\u00a0kg/m2), or comorbidities. The rate of revision surgery was higher in L-GB group without reaching statistical significance. No statistically significant difference was observed for duration of operation (134\u2009\u00b1\u200935 vs. 135\u2009\u00b1\u200937\u00a0min), readmission rate at 90\u00a0days (4.9% vs. 8.9%), or percentage of excess weight loss at 1\u00a0year (RA-GB vs. L-GB) (76.8%\u2009\u00b1\u200920.5 vs. 73.1%\u2009\u00b1\u200923.5). There were fewer statistically significant complications overall in RA-GB (9.8% vs. 21.9%, p\u2009=\u20090.019). Median duration of hospital stay was shorter for RA-GB (3 vs. 4\u00a0days, p\u2009<\u20090.0001). The mean duration of operation for RA-GB decreased from 153\u00a0min in 2014 to 122\u00a0min in 2016; p\u2009=\u20090.004.\nCONCLUSION: In our experience, the robotic approach for gastric bypass was associated with fewer postoperative complications compared to traditional laparoscopic gastric bypass. Cost increment associated with RA-GB remains an important drawback that hampers its widespread.", 
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