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Robotic gastric banding in children and adolescents: a comparative study

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Abstract

Background

Minimally invasive techniques are becoming the gold standard approach to surgical treatment of obesity in adults. Robotic surgical systems have the potential to advance the use and development of minimally invasive procedures. To date, there is no study of outcomes following robotic-assisted gastric banding (RAGB) compared with laparoscopic adjustable gastric banding (LAGB) in children and adolescents. This study was undertaken to compare a single surgeon’s results using the da Vinci surgical system for RAGB with those using LAGB in this group of patients.

Methods

A retrospective data analysis of 25 patients who underwent RAGB compared with 50 patients who underwent LAGB.

Results

The 75 patients were 8–21 years of age and included 42 (54.5%) girls. Patients in the two groups had similar baseline characteristics including gender, age, body mass index (BMI), and presence of comorbidities. No significant differences in complication rate, length of stay or percent excess weight loss at 1 year were found between the two groups. Mean operating time was significantly shorter for LAGB (50 min) compared with RAGB (74 min; P < 0.001).

Conclusions

This comparative study between RAGB and LAGB in children and adolescents demonstrates the feasibility and safety of RAGB. However, the procedure requires significantly more operative time than LAGB and fails to provide improved patient outcome.

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References

  1. Diodato MD, Damiano RJ Jr (2003) Robotic cardiac surgery: overview. Surg Clin North Am 83:1351–1367

    Article  PubMed  Google Scholar 

  2. Falk V, Diegler A, Walther T, Autschbach R, Mohr FW (2000) Developments in robotic cardiac surgery. Curr Opin Cardiol 15:378–387

    Article  PubMed  CAS  Google Scholar 

  3. Ballantyne GH, Moll F (2003) The da Vinci telerobotic surgical system: the virtual operative field and telepresence surgery. Surg Clin North Am 83:1293–1304

    Article  PubMed  Google Scholar 

  4. Al-Qahtani AR (2007) Laparoscopic adjustable gastric banding in adolescent: safety and efficacy. J Pediatr Surg 42:894–897

    Article  PubMed  Google Scholar 

  5. Alqahtani A, Albassam A, Zamakhshary M, Shoukri M, Altokhais T, Aljazairi A, Alzahim A, Mallik M, Alshehri A (2010) Robot-assisted pediatric surgery: how far can we go? World J Surg 34:975–978

    Article  PubMed  Google Scholar 

  6. Mikhail AA, Orvieto MA, Billatos ES, Zorn KC, Gong EM, Brendler CB, Zagaja GP, Shalhav AL (2006) Robotic-assisted laparoscopic prostatectomy: first 100 patients with one year of follow-up. Urology 68:1275–1279

    Article  PubMed  Google Scholar 

  7. Woo R, Le D, Kim S, Albanese C (2006) Robot-assisted laparoscopic resection of a type I choldedochal cyst. J Laparoendosc Adv Tech 16:179–183

    Article  Google Scholar 

  8. Goh PMY, Lomanto D, So JBY (2002) Robotic-assisted laparoscopic cholecystectomy. Surg Endosc 16:216–217

    Article  PubMed  CAS  Google Scholar 

  9. Lorincz A, Langenburg S, Klein MD (2003) Robotics and the pediatric surgeon. Curr Opin Pediatr 15:262–266

    Article  PubMed  Google Scholar 

  10. Zhou HX, Guo YH, Yu XF, Bao SY, Liu JL, Zhang Y, Ren YG (2006) Zeus robot-assisted laparoscopic cholecystectomy in comparison with conventional laparoscopic cholecystectomy. Hepatobiliary Pancreat Dis Int 5:115–118

    PubMed  Google Scholar 

  11. Chaer RA, Jacobsen G, Elli F, Harris J, Goldstein A, Horgan S (2004) Robotic-assisted laparoscopic pediatric Heller’s cardiomyotomy: initial case report. J Laparoendosc Adv Surg Tech 14:270–273

    Article  Google Scholar 

  12. Atug F, Woods M, Burgess SV, Castle EP, Thomas R (2005) Robotic assisted laparoscopic pyeloplasty in children. J Urol 174:1440–1442

    Article  PubMed  Google Scholar 

  13. Knight CG, Gidell KM, Lanning D, Lorincz A, Langenburg SE, Klein MD (2005) Laparoscopic Morgagni hernia repair in children using robotic instruments. J Laparoendosc Adv Surg Tech 15:482–486

    Article  Google Scholar 

  14. Chandra V, Dutta S, Albanese CT (2006) Surgical robotics and image guided therapy in pediatric surgery: emerging and converging minimal access technologies. Semin Pediatr Surg 15:267–275

    Article  PubMed  Google Scholar 

  15. Mühlmann G, Klaus A, Kirchmayr W, Wykypiel H, Unger A, Höller E, Nehoda H, Aigner F, Weiss HG (2003) DaVinci robotic-assisted laparoscopic bariatric surgery: is it justified in a routine setting? Obes Surg 13:848–854

    Article  PubMed  Google Scholar 

  16. Cadiere GB, Himpens J, Germay O, Izizaw R, Degueldre M, Vandromme J, Capelluto E, Bruyns J (2001) Feasibility of robotic laparoscopic surgery: 146 cases. World J Surg 25:1467

    PubMed  CAS  Google Scholar 

  17. Heller K, Gutt C, Schaeff B, Beyer PA, Markus B (2002) Use of the robot system Da Vinci for laparoscopic repair of gastrooesophageal reflux in children. Eur J Pediatr Surg 12:239–242

    Article  PubMed  CAS  Google Scholar 

  18. Cadiere GB, Himpens J, Vertruyen M, Bruyns J, Germay O, Leman G, Izizaw R (2001) Evaluation of telesurgical (robotic) Nissan fundoplication. Surg Endosc 15:918–923

    Article  PubMed  CAS  Google Scholar 

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Disclosure

Author Aayed Alqahtani has no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Surgery, College of Medicine, King Saud University, P.O. Box 84147, Riyadh, 11671, Saudi Arabia

    Aayed Alqahtani

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  1. Aayed Alqahtani
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Correspondence to Aayed Alqahtani.

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Alqahtani, A. Robotic gastric banding in children and adolescents: a comparative study. Surg Endosc 25, 3647–3651 (2011). https://doi.org/10.1007/s00464-011-1772-4

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  • DOI: https://doi.org/10.1007/s00464-011-1772-4

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