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Published in: Obesity Surgery 10/2013

01-10-2013 | Review Article

Robotic Sleeve Gastrectomy Versus Laparoscopic Sleeve Gastrectomy: a Comparative Study with 200 Patients

Authors: Ramon Vilallonga, José Manuel Fort, Enric Caubet, Oscar Gonzalez, Manel Armengol

Published in: Obesity Surgery | Issue 10/2013

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Abstract

The da Vinci Surgical System® has shown its possible indications in obesity surgery. This clinical study aims to elucidate the benefits, potentials, or problems of applying robotic technology for sleeve gastrectomy (SG). Data from 200 patients who underwent SG either performed by laparoscopy or robotic approach were assessed. A review of the data was analyzed with 1-year follow-up. There were 143 female patients. Mean age was 43.6 years. Mean BMI was 48.4 kg/m2. Operative time was longer for the robotic SG group (p < 0.005). The overall leak rate was 3.5 %. Robotic SG is feasible and may be an initial procedure to undergo more complex procedures. Cost issues and operative times will need to be more clearly estimated in the future.
Literature
1.
go back to reference Deitel M, Gagner M, Erickson AL, et al. Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7:749–59.PubMedCrossRef Deitel M, Gagner M, Erickson AL, et al. Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7:749–59.PubMedCrossRef
2.
go back to reference Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009;5:469–75.PubMedCrossRef Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009;5:469–75.PubMedCrossRef
3.
go back to reference Jacobsen G, Berger R, Horgan S. The role of robotic surgery in morbid obesity. J Laparoendosc Adv Surg Tech A. 2003;13:279–83.PubMedCrossRef Jacobsen G, Berger R, Horgan S. The role of robotic surgery in morbid obesity. J Laparoendosc Adv Surg Tech A. 2003;13:279–83.PubMedCrossRef
4.
go back to reference Cadiere GB, Himpens J, Vertruyen M, et al. The world’s first obesity surgery performed by a surgeon at a distance. Obes Surg. 1999;9:206–9.PubMedCrossRef Cadiere GB, Himpens J, Vertruyen M, et al. The world’s first obesity surgery performed by a surgeon at a distance. Obes Surg. 1999;9:206–9.PubMedCrossRef
5.
go back to reference Schauer P, Ikramuddin S, Hamad G, et al. The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc. 2003;17:212–5.PubMedCrossRef Schauer P, Ikramuddin S, Hamad G, et al. The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc. 2003;17:212–5.PubMedCrossRef
6.
go back to reference Oliak D, Owens H, Schmidt HJ. Laparoscopic Roux-en-Y gastric bypass: refining the learning curve. Surg Endosc. 2003;17:405–8.PubMedCrossRef Oliak D, Owens H, Schmidt HJ. Laparoscopic Roux-en-Y gastric bypass: refining the learning curve. Surg Endosc. 2003;17:405–8.PubMedCrossRef
7.
go back to reference Boza C, Salinas J, Salgado N, et al. Laparoscopic sleeve gastrectomy as a stand-alone procedure for morbid obesity: report of 1,000 cases and 3-year follow-up. Obes Surg. 2012;22:866–71.PubMedCrossRef Boza C, Salinas J, Salgado N, et al. Laparoscopic sleeve gastrectomy as a stand-alone procedure for morbid obesity: report of 1,000 cases and 3-year follow-up. Obes Surg. 2012;22:866–71.PubMedCrossRef
8.
go back to reference Rosenthal RJ, International Sleeve Gastrectomy Expert Panel, Diaz AA, Arvidsson D, Baker RS, Basso N, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8:8–19.PubMedCrossRef Rosenthal RJ, International Sleeve Gastrectomy Expert Panel, Diaz AA, Arvidsson D, Baker RS, Basso N, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8:8–19.PubMedCrossRef
9.
go back to reference Chopra A, Chao E, Etkin Y, et al. Laparoscopic sleeve gastrectomy for obesity: can it be considered a definitive procedure? Surg Endosc. 2012;26:831–7.PubMedCrossRef Chopra A, Chao E, Etkin Y, et al. Laparoscopic sleeve gastrectomy for obesity: can it be considered a definitive procedure? Surg Endosc. 2012;26:831–7.PubMedCrossRef
10.
go back to reference Ayloo SM, Addeo P, Buchs NC, et al. Robot-assisted versus laparoscopic Roux-en-Y gastric bypass: is there a difference in outcomes? World J Surg. 2011;35:637–42.PubMedCrossRef Ayloo SM, Addeo P, Buchs NC, et al. Robot-assisted versus laparoscopic Roux-en-Y gastric bypass: is there a difference in outcomes? World J Surg. 2011;35:637–42.PubMedCrossRef
11.
go back to reference Muhlmann G, Klaus A, Kirchmayr W, et al. DaVinci robotic assisted laparoscopic bariatric surgery: is it justified in a Soutine setting? Obes Surg. 2003;13:848–54.PubMedCrossRef Muhlmann G, Klaus A, Kirchmayr W, et al. DaVinci robotic assisted laparoscopic bariatric surgery: is it justified in a Soutine setting? Obes Surg. 2003;13:848–54.PubMedCrossRef
12.
go back to reference Snyder BE, Wilson T, Leong BY, et al. Robotic-assisted Roux-en-Y Gastric bypass: minimizing morbidity and mortality. Obes Surg. 2010;20:265–70.PubMedCrossRef Snyder BE, Wilson T, Leong BY, et al. Robotic-assisted Roux-en-Y Gastric bypass: minimizing morbidity and mortality. Obes Surg. 2010;20:265–70.PubMedCrossRef
13.
go back to reference Sanchez BR, Mohr CJ, Morton JM. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1:549–54.PubMedCrossRef Sanchez BR, Mohr CJ, Morton JM. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1:549–54.PubMedCrossRef
14.
15.
go back to reference Hubens G, Balliu L, Ruppert M, et al. Roux-en-Y gastric bypass procedure performed with the da Vinci robot system: is it worth it? Surg Endosc. 2008;22:1690–6. Epub 2007 Dec 11.PubMedCrossRef Hubens G, Balliu L, Ruppert M, et al. Roux-en-Y gastric bypass procedure performed with the da Vinci robot system: is it worth it? Surg Endosc. 2008;22:1690–6. Epub 2007 Dec 11.PubMedCrossRef
16.
go back to reference Vilallonga R, Fort JM, Gonzalez O, et al. The initial learning curve for robot-assisted sleeve gastrectomy: a surgeon’s experience while introducing the robotic technology in a bariatric surgery department. Minim Invasive Surg. 2012;2012:347131. doi:10.1155/2012/347131.PubMed Vilallonga R, Fort JM, Gonzalez O, et al. The initial learning curve for robot-assisted sleeve gastrectomy: a surgeon’s experience while introducing the robotic technology in a bariatric surgery department. Minim Invasive Surg. 2012;2012:347131. doi:10.​1155/​2012/​347131.PubMed
17.
go back to reference Ayloo S, Buchs NC, Addeo P, et al. Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech A. 2011;21:295–9.PubMedCrossRef Ayloo S, Buchs NC, Addeo P, et al. Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech A. 2011;21:295–9.PubMedCrossRef
18.
go back to reference Frezza EE, Reddy S, Gee LL, et al. Complications after sleeve gastrectomy for morbid obesity. Obes Surg. 2009;19:684–7.PubMedCrossRef Frezza EE, Reddy S, Gee LL, et al. Complications after sleeve gastrectomy for morbid obesity. Obes Surg. 2009;19:684–7.PubMedCrossRef
19.
go back to reference Chen B, Kiriakopoulos A, Tsakayannis D, et al. Reinforcement does not necessarily reduce the rate of staple line leaks after sleeve gastrectomy. A review of the literature and clinical experiences. Obes Surg. 2009;19:166–72.PubMedCrossRef Chen B, Kiriakopoulos A, Tsakayannis D, et al. Reinforcement does not necessarily reduce the rate of staple line leaks after sleeve gastrectomy. A review of the literature and clinical experiences. Obes Surg. 2009;19:166–72.PubMedCrossRef
20.
go back to reference Diamantis T, Alexandrou A, Nikiteas N, et al. Initial experience with robotic sleeve gastrectomy for morbid obesity. Obes Surg. 2011;21:1172–9.PubMedCrossRef Diamantis T, Alexandrou A, Nikiteas N, et al. Initial experience with robotic sleeve gastrectomy for morbid obesity. Obes Surg. 2011;21:1172–9.PubMedCrossRef
21.
go back to reference Hagen ME, Pugin F, Chassot G, et al. Reducing cost of surgery by avoiding complications: the model of robotic Roux-en-Y gastric bypass. Obes Surg. 2012;22:52–61.PubMedCrossRef Hagen ME, Pugin F, Chassot G, et al. Reducing cost of surgery by avoiding complications: the model of robotic Roux-en-Y gastric bypass. Obes Surg. 2012;22:52–61.PubMedCrossRef
22.
go back to reference Scozzari G, Rebecchi F, Millo P, et al. Robot-assisted gastrojejunal anastomosis does not improve the results of the laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2011;25:597–603.PubMedCrossRef Scozzari G, Rebecchi F, Millo P, et al. Robot-assisted gastrojejunal anastomosis does not improve the results of the laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2011;25:597–603.PubMedCrossRef
23.
go back to reference Markar SR, Penna M, Hashemi M. Robotic bariatric surgery: bypass, band and sleeve. Where are we now? And what is the future? Minerva Gastroenterol Dietol. 2012;58:181–90.PubMed Markar SR, Penna M, Hashemi M. Robotic bariatric surgery: bypass, band and sleeve. Where are we now? And what is the future? Minerva Gastroenterol Dietol. 2012;58:181–90.PubMed
24.
go back to reference Deng JY, Lourié DJ. 100 robotic-assisted laparoscopic gastric bypasses at a community hospital. Am Surg. 2008;74:1022–5.PubMed Deng JY, Lourié DJ. 100 robotic-assisted laparoscopic gastric bypasses at a community hospital. Am Surg. 2008;74:1022–5.PubMed
25.
go back to reference Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008;247:401–7.PubMedCrossRef Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008;247:401–7.PubMedCrossRef
26.
go back to reference Karmali S, Schauer P, Birch D, et al. Laparoscopic sleeve gastrectomy: an innovative new tool in the battle against the obesity epidemic in Canada. Can J Surg. 2010;53:126–32.PubMed Karmali S, Schauer P, Birch D, et al. Laparoscopic sleeve gastrectomy: an innovative new tool in the battle against the obesity epidemic in Canada. Can J Surg. 2010;53:126–32.PubMed
27.
go back to reference Mohr CJ, Nadzam GS, Curet MJ. Totally robotic Roux-en-Y gastric bypass. Arch Surg. 2005;140:779–86.PubMedCrossRef Mohr CJ, Nadzam GS, Curet MJ. Totally robotic Roux-en-Y gastric bypass. Arch Surg. 2005;140:779–86.PubMedCrossRef
Metadata
Title
Robotic Sleeve Gastrectomy Versus Laparoscopic Sleeve Gastrectomy: a Comparative Study with 200 Patients
Authors
Ramon Vilallonga
José Manuel Fort
Enric Caubet
Oscar Gonzalez
Manel Armengol
Publication date
01-10-2013
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2013
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-013-1039-3

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