The Results of 100 Robotic Versus 100 Laparoscopic Gastric Bypass Procedures: a Single High Volume Centre Experience
| Autor: | G. van ‘t Hof, R. M. Smeenk, Eline E. C. M. Elsten, Pierre B. Feskens |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism Gastric bypass Operative Time Laparoscopic gastric bypass Gastric Bypass 030209 endocrinology & metabolism 03 medical and health sciences Young Adult 0302 clinical medicine Robotic Surgical Procedures Medicine Humans Robotic surgery Aged Retrospective Studies Nutrition and Dietetics business.industry technology industry and agriculture Length of Stay Middle Aged Surgery Obesity Morbid body regions surgical procedures operative Feasibility Studies 030211 gastroenterology & hepatology Female Laparoscopy business human activities Learning Curve |
| Zdroj: | Obesity surgery. 26(6) |
| ISSN: | 1708-0428 |
| Popis: | The introduction of robotics in bariatric surgery is a novel development since the beginning of this century. The aim of this study is to compare surgical outcome of the robotic gastric bypass with the laparoscopic counterpart.A retrospective study was conducted to compare the results of 100 fully robotic gastric bypasses (RGB) and 100 laparoscopic gastric bypasses (LGB) performed by a single surgeon. Surgical outcome was analysed by evaluating operation room time and surgical time, morbidity and mortality, and length of hospital stay.In the RGB and LGB group, respectively, 92 and 80 % of operated patients were female (p = 0.024). Mean age was 39 (range 20-62, SD 10.21) and 42 years (range 18-65, SD 11.87), respectively (p = 0.158). Mean BMI was 40 (range 35-47, SD 2.66) and 42 (range 35-56, SD 4.75), respectively (p 0.05). Mean surgical time was 67 (range 39-210, SD 22.46) and 31 min (range 18-62, SD 9.12), respectively (p 0.05). Mean operation room time was 117 (range 80-257, SD 30.13) and 66 min (range 38-101, SD 12.68), respectively (p 0.05). The surgery-related 30-day morbidity rate was 5 % in both groups. Major morbidity (Clavien-Dindo class 3-4) was 3 and 1 %, respectively (p = 0.62). There was no mortality. Median hospital stay was two postoperative days in both groups. A learning curve developed after 25 procedures.The RGB is a feasible procedure. Although more time is needed, a standardized technique results in fair operation times in the hands of an experienced surgeon. |
| Databáze: | OpenAIRE |
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