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

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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.

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Authors and Affiliations

  1. Faculty of Medicine, University of Thessaly, Viopolis, 411 10, Larissa, Greece

    Dimitrios E. Magouliotis & Vasiliki S. Tasiopoulou

  2. Department of Surgery, University Hospital of Larissa, Viopolis, 411 10, Larissa, Greece

    Eleni Sioka & Dimitrios Zacharoulis

Authors
  1. Dimitrios E. Magouliotis
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  2. Vasiliki S. Tasiopoulou
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  3. Eleni Sioka
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  4. Dimitrios Zacharoulis
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Correspondence to Dimitrios E. Magouliotis.

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The authors declare that they have no conflicts of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Does not apply.

Non-Blinded COI Statement

Dr. Magouliotis has nothing to disclose.

Ms. Tasiopoulou has nothing to disclose.

Dr. Sioka has nothing to disclose.

Dr. Zacharoulis has nothing to disclose.

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The authors received no financial support for the research, authorship and/or publication of this article.

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Magouliotis, D.E., Tasiopoulou, V.S., Sioka, E. et al. Robotic versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity: a Systematic Review and Meta-analysis. OBES SURG 27, 245–253 (2017). https://doi.org/10.1007/s11695-016-2444-1

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  • DOI: https://doi.org/10.1007/s11695-016-2444-1

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