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01-12-2013

The Evolution of Robotic Bariatric Surgery

Authors: Erik B. Wilson, Ranjan Sudan

Published in: World Journal of Surgery | Issue 12/2013

Introduction

The growth of bariatric surgery has resulted in varying types of procedures with increasing complexity. Robotic digital platforms are employed in bariatric surgery to address this increasing complexity in the high-risk obese patient population with difficult anatomy.

Materials and Methods

This review explores the literature and examines the reported outcomes and complications in using robotics for bariatric surgery. Robotic approaches to adjustable gastric banding, sleeve gastrectomy, gastric bypass, and biliopancreatic diversion with duodenal switch are examined. Revisional cases, learning curves, and cost effectiveness are reviewed, with an eye toward the future of bariatric surgery as the use of robotics is adopted.

Conclusion

Digital platforms are showing great promise as enabling technology which advance bariatric outcomes. With increasingly complex bariatric cases being performed and revised, the insertion of digital information between the surgeon and the patient leads to better operations for the patient and the surgeon.

Wittgrove AC, Clark GW, Tremblay LJ (1994) Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg 4:353–357PubMedCrossRef

DeMaria EJ, Pate V, Warthen M et al (2010) Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis 6:347–355PubMedCrossRef

Cadiere GB, Himpens J, Vertruyen M et al (1999) The world’s first obesity surgery performed by a surgeon at a distance. Obes Surg 2:206–209CrossRef

Mühlmann G, Klaus A, Kirchmayr W et al (2003) DaVinci robotic-assisted laparoscopic bariatric surgery: is it justified in a routine setting? Obes Surg 13:848–854PubMedCrossRef

Galvani C, Horgan S (2005) Robots in general surgery: present and future. Cir Esp 78:138–147PubMedCrossRef

Edelson PK, Dumon KR, Sonnad SS et al (2011) Robotic vs. conventional laparoscopic gastric banding: a comparison of 407 cases. Surg Endosc 25:1402–1408PubMedCrossRef

Sudan R, Puri V, Sudan D (2007) Robotically assisted biliary pancreatic diversion with a duodenal switch: a new technique. Surg Endosc 21:729–733PubMedCrossRef

Ayloo S, Buchs NC, Addeo P et al (2011) Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech A 21:295–299PubMedCrossRef

Diamantis T, Alexandrou A, Nikiteas N et al (2011) Initial experience with robotic sleeve gastrectomy for morbid obesity. Obes Surg 21:1172–1179PubMedCrossRef

10.

Elli EF, Masrur MA, Giulianotti PC (2013) Robotic sleeve gastrectomy after liver transplantation. Surg Obes Relat Dis 9:20–22CrossRef

11.

Sudan R, Kasotakis G, Betof A et al (2010) Sleeve gastrectomy strictures: technique for robotic-assisted strictureplasty. Surg Obes Relat Dis 6:434–436PubMedCrossRef

12.

Mohr CJ, Nadzam GS, Alami RS et al (2006) Totally robotic laparoscopic Roux-en-Y gastric bypass: results from 75 patients. Obes Surg 16:690–696PubMedCrossRef

13.

Hubens G, Balliu L, Ruppert M et al (2008) Roux-en-Y gastric bypass procedure performed with the da Vinci robot system: is it worth it? Surg Endosc 22:1690–1696PubMedCrossRef

14.

Hagen ME, Inan I, Pugin F et al (2007) The da Vinci surgical system in digestive surgery. Rev Med Suisse 3:1622–1626PubMed

15.

Parini U, Fabozzi M, Contul RB et al (2006) Laparoscopic gastric bypass performed with the da Vinci Intuitive Robotic System: preliminary experience. Surg Endosc 20:1851–1857PubMedCrossRef

16.

Jacobsen G, Berger R, Horgan S (2003) The role of robotic surgery in morbid obesity. Laparoendosc Adv Surg Tech A 13:279–283CrossRef

17.

Snyder BE, Wilson T, Scarborough T et al (2008) Lowering gastrointestinal leak rates: a comparative analysis of robotic and laparoscopic gastric bypass. J Robotic Surg 2:159–163CrossRef

18.

Blachar A, Federle MP, Pealer KM et al (2002) Gastrointestinal complications of laparoscopic Roux-en-Y gastric bypass surgery: clinical and imaging findings. Radiology 223:625–632PubMedCrossRef

19.

Sanchez BR, Mohr CJ, Morton JM et al (2005) Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 1:549–554PubMedCrossRef

20.

Curet MJ, Soloman H, Lui G et al (2009) Comparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic hand sewn Roux-en-Y gastric bypass. J Robot Surg 3:75–78CrossRef

21.

Hagen ME, Pugin F, Chassot G et al (2012) Reducing cost of surgery by avoiding complications: the model of robotic Roux-en-Y gastric bypass. Obes Surg 22:52–61PubMedCrossRef

22.

Schauer P, Ikramuddin S, Hamad G et al (2003) The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc 17:212–215PubMedCrossRef

23.

Oliak D, Ballantyne GH, Weber P et al (2003) Laparoscopic Roux-en-Y gastric bypass: defining the learning curve. Surg Endosc 17:405–408PubMedCrossRef

24.

Buchs NC, Pugin F, Bucher P et al (2012) Learning curve for robot-assisted Roux-en-Y gastric bypass. Surg Endosc 26:1116–1121PubMedCrossRef

25.

Yu CJ, Clapp BI, Lee MJ et al (2006) Robotic assistance provides excellent outcomes during the learning curve for laparoscopic Roux-en-Y gastric bypass: results from 100 robotic-assisted gastric bypasses. Am J Surg 192:746–749PubMedCrossRef

26.

Tieu K, Allison N, Snyder B et al (2013) Robotic-assisted Roux-en-Y gastric bypass: update from 2 high-volume centers. Surg Obes Relat Dis 9:284–288PubMedCrossRef

27.

Patel S, Szomstein S, Rosenthal RJ (2011) Reasons and outcomes of reoperative bariatric surgery for failed and complicated procedures (excluding adjustable gastric band). Obes Surg 21:1209–1219PubMedCrossRef

28.

Snyder B, Wilson T, Woodruff V (2013) Robotically assisted revision of bariatric surgeries is safe and effective to achieve further weight loss. World J Surg. doi:10.1007%2Fs00268-013-1968-y Mar 1, 2013 Epub ahead of print

29.

Sudan R, Bennett KM, Jacobs DO et al (2012) Multifactorial analysis of the learning curve for robot-assisted laparoscopic biliopancreatic diversion with duodenal switch. Ann Surg 255:940–945PubMedCrossRef

30.

Sudan R, Desai S (2011) Conversion of laparoscopic adjustable gastric band to robot-assisted laparoscopic biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis 7:546–547PubMedCrossRef

Title: The Evolution of Robotic Bariatric Surgery
Authors: Erik B. Wilson
Ranjan Sudan
Publication date: 01-12-2013
Publisher: Springer US
Published in: World Journal of Surgery / Issue 12/2013
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-013-2125-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Evolution of Robotic Bariatric Surgery

Introduction

Materials and Methods

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Introduction

Materials and Methods

Conclusion

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