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Published in: Obesity Surgery 1/2017

01-01-2017 | Review Article

Robotic versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity: a Systematic Review and Meta-analysis

Authors: Dimitrios E. Magouliotis, Vasiliki S. Tasiopoulou, Eleni Sioka, Dimitrios Zacharoulis

Published in: Obesity Surgery | Issue 1/2017

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Abstract

We aim to review the available literature on obese patients treated with robotic or laparoscopic sleeve gastrectomy, in order to compare the clinical outcomes and intraoperative parameters of the two methods. A systematic literature search was performed in PubMed, Cochrane Library and EBSCOhost databases, in accordance with the PRISMA guidelines. Sixteen studies met the inclusion criteria incorporating 29,787 patients. Robotic sleeve gastrectomy (RSG) technique showed significantly higher mean operative time and increased length of hospital stay. Post-operative incidence of leakage, wound infection and bleeding, along with weight reduction, were comparable. The majority of the studies assessing charges found increased cost in RSG population. Well-designed, randomized controlled studies, comparing RSG to laparoscopic sleeve gastrectomy (LSG), are necessary to assess further their clinical outcomes and cost-effectiveness.
Literature
1.
go back to reference Colquit JL, Picot J, Loveman E, et al. Surgery for obesity. Cochrane Database Syst Rev. 2009;2:CD003641. Colquit JL, Picot J, Loveman E, et al. Surgery for obesity. Cochrane Database Syst Rev. 2009;2:CD003641.
2.
go back to reference Kueper MA, Kramer KM, Kirschniak A, et al. Laparoscopic sleeve gastrectomy: standardized technique of a potential standalone bariatric procedure in morbidly obese patients. World J Surg. 2008;32(7):1462–5.CrossRefPubMed Kueper MA, Kramer KM, Kirschniak A, et al. Laparoscopic sleeve gastrectomy: standardized technique of a potential standalone bariatric procedure in morbidly obese patients. World J Surg. 2008;32(7):1462–5.CrossRefPubMed
3.
go back to reference Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg. 2015;25:1822–32.CrossRefPubMed Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg. 2015;25:1822–32.CrossRefPubMed
4.
6.
go back to reference Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6:e1000100.CrossRefPubMedPubMedCentral Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 2009;6:e1000100.CrossRefPubMedPubMedCentral
7.
go back to reference Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0 [updated March 2011]. The Cochrane Collaboration. 2011 Available from www.cochrane-handbook.org Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0 [updated March 2011]. The Cochrane Collaboration. 2011 Available from www.cochrane-handbook.org
8.
go back to reference Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010;25:603–5.CrossRefPubMed Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010;25:603–5.CrossRefPubMed
10.
go back to reference Alexandrou A, Athanasiou A, Michalinos A, et al. Laparoscopic sleeve gastrectomy for morbid obesity: 5-year results. Am J Surgy. 2015; 209(2). Alexandrou A, Athanasiou A, Michalinos A, et al. Laparoscopic sleeve gastrectomy for morbid obesity: 5-year results. Am J Surgy. 2015; 209(2).
11.
go back to reference Alexandrou A, Michalinos A, Athanasiou A, et al. Laparoscopic sleeve gastrectomy for morbid obesity with intra-operative endoscopy: lessons we learned after 100 consecutive patients. Obes Surg. 2015;25:1223–8. doi:10.1007/s11695-014-1524-3.CrossRef Alexandrou A, Michalinos A, Athanasiou A, et al. Laparoscopic sleeve gastrectomy for morbid obesity with intra-operative endoscopy: lessons we learned after 100 consecutive patients. Obes Surg. 2015;25:1223–8. doi:10.​1007/​s11695-014-1524-3.CrossRef
13.
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. 2011; 21(4). doi: 10.1089/lap.2010.0398. Ayloo S, Buchs NC, Addeo P, et al. Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech. 2011; 21(4). doi: 10.​1089/​lap.​2010.​0398.
14.
go back to reference Bhatia P, Bindal V, Singh R, et al. Robot-assisted sleeve gastrectomy in morbidly obese versus super obese patients. J Soc Laparoendosc Surg. 2014; 18(3). doi: 10.4293/JSLS.2014.00099. Bhatia P, Bindal V, Singh R, et al. Robot-assisted sleeve gastrectomy in morbidly obese versus super obese patients. J Soc Laparoendosc Surg. 2014; 18(3). doi: 10.​4293/​JSLS.​2014.​00099.
16.
go back to reference Ecker BL, Maduka R, Ramdon A, et al. Resident education in robotic-assisted vertical sleeve gastrectomy: outcomes and cost-analysis of 411 consecutive cases. Surg Obes Relat Dis. 2015; 00–00 doi: 10.1016/j.soard.2015.05.011. Ecker BL, Maduka R, Ramdon A, et al. Resident education in robotic-assisted vertical sleeve gastrectomy: outcomes and cost-analysis of 411 consecutive cases. Surg Obes Relat Dis. 2015; 00–00 doi: 10.​1016/​j.​soard.​2015.​05.​011.
19.
go back to reference Moon RC, Stephenson D, Royal NA, et al. Robot-assisted versus laparoscopic sleeve gastrectomy: learning curve, perioperative, and short-term outcomes. Obes Surg. 2016; doi:10.1007/s11695-016-2131-2. Moon RC, Stephenson D, Royal NA, et al. Robot-assisted versus laparoscopic sleeve gastrectomy: learning curve, perioperative, and short-term outcomes. Obes Surg. 2016; doi:10.​1007/​s11695-016-2131-2.
22.
go back to reference Schraibman V, Macedo ALV, Epstein MG, et al. Comparison of the morbidity, weight loss, and relative costs between robotic and laparoscopic sleeve gastrectomy for the treatment of obesity in Brazil. Obes Surg. 2014;24:1420–4. doi:10.1007/s11695-014-1239-5.CrossRefPubMed Schraibman V, Macedo ALV, Epstein MG, et al. Comparison of the morbidity, weight loss, and relative costs between robotic and laparoscopic sleeve gastrectomy for the treatment of obesity in Brazil. Obes Surg. 2014;24:1420–4. doi:10.​1007/​s11695-014-1239-5.CrossRefPubMed
24.
26.
go back to reference Markar SR, Karthikesalingam AP, Venkat-Ramen V, et al. Robotic vs. laparoscopic Roux-en-Y gastric bypass in morbidly obese patients: systematic review and pooled analysis. Int J Med Rob. 2011;7(4):393–400.CrossRef Markar SR, Karthikesalingam AP, Venkat-Ramen V, et al. Robotic vs. laparoscopic Roux-en-Y gastric bypass in morbidly obese patients: systematic review and pooled analysis. Int J Med Rob. 2011;7(4):393–400.CrossRef
27.
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(4):469–75.CrossRefPubMed Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009;5(4):469–75.CrossRefPubMed
28.
go back to reference Morino M, Pellegrino L, Giaccone C, et al. Randomized clinical trial of robot-assisted versus laparoscopic Nissen fundoplication. Br J Surg. 2006;93(5):553–8.CrossRefPubMed Morino M, Pellegrino L, Giaccone C, et al. Randomized clinical trial of robot-assisted versus laparoscopic Nissen fundoplication. Br J Surg. 2006;93(5):553–8.CrossRefPubMed
Metadata
Title
Robotic versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity: a Systematic Review and Meta-analysis
Authors
Dimitrios E. Magouliotis
Vasiliki S. Tasiopoulou
Eleni Sioka
Dimitrios Zacharoulis
Publication date
01-01-2017
Publisher
Springer US
Published in
Obesity Surgery / Issue 1/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2444-1

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