Skip to main content
SpringerLink
Log in

The Evolution of Robotic Bariatric Surgery

  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Introduction

The growth of bariatric surgery has resulted in varying types of procedures with increasing complexity. Robotic digital platforms are employed in bariatric surgery to address this increasing complexity in the high-risk obese patient population with difficult anatomy.

Materials and Methods

This review explores the literature and examines the reported outcomes and complications in using robotics for bariatric surgery. Robotic approaches to adjustable gastric banding, sleeve gastrectomy, gastric bypass, and biliopancreatic diversion with duodenal switch are examined. Revisional cases, learning curves, and cost effectiveness are reviewed, with an eye toward the future of bariatric surgery as the use of robotics is adopted.

Conclusion

Digital platforms are showing great promise as enabling technology which advance bariatric outcomes. With increasingly complex bariatric cases being performed and revised, the insertion of digital information between the surgeon and the patient leads to better operations for the patient and the surgeon.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Wittgrove AC, Clark GW, Tremblay LJ (1994) Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg 4:353–357

    Article  PubMed  Google Scholar 

  2. DeMaria EJ, Pate V, Warthen M et al (2010) Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis 6:347–355

    Article  PubMed  Google Scholar 

  3. Cadiere GB, Himpens J, Vertruyen M et al (1999) The world’s first obesity surgery performed by a surgeon at a distance. Obes Surg 2:206–209

    Article  Google Scholar 

  4. Mühlmann G, Klaus A, Kirchmayr W et al (2003) DaVinci robotic-assisted laparoscopic bariatric surgery: is it justified in a routine setting? Obes Surg 13:848–854

    Article  PubMed  Google Scholar 

  5. Galvani C, Horgan S (2005) Robots in general surgery: present and future. Cir Esp 78:138–147

    Article  PubMed  Google Scholar 

  6. Edelson PK, Dumon KR, Sonnad SS et al (2011) Robotic vs. conventional laparoscopic gastric banding: a comparison of 407 cases. Surg Endosc 25:1402–1408

    Article  PubMed  Google Scholar 

  7. Sudan R, Puri V, Sudan D (2007) Robotically assisted biliary pancreatic diversion with a duodenal switch: a new technique. Surg Endosc 21:729–733

    Article  PubMed  CAS  Google Scholar 

  8. Ayloo S, Buchs NC, Addeo P et al (2011) Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech A 21:295–299

    Article  PubMed  Google Scholar 

  9. Diamantis T, Alexandrou A, Nikiteas N et al (2011) Initial experience with robotic sleeve gastrectomy for morbid obesity. Obes Surg 21:1172–1179

    Article  PubMed  Google Scholar 

  10. Elli EF, Masrur MA, Giulianotti PC (2013) Robotic sleeve gastrectomy after liver transplantation. Surg Obes Relat Dis 9:20–22

    Article  Google Scholar 

  11. Sudan R, Kasotakis G, Betof A et al (2010) Sleeve gastrectomy strictures: technique for robotic-assisted strictureplasty. Surg Obes Relat Dis 6:434–436

    Article  PubMed  Google Scholar 

  12. Mohr CJ, Nadzam GS, Alami RS et al (2006) Totally robotic laparoscopic Roux-en-Y gastric bypass: results from 75 patients. Obes Surg 16:690–696

    Article  PubMed  Google Scholar 

  13. Hubens G, Balliu L, Ruppert M et al (2008) Roux-en-Y gastric bypass procedure performed with the da Vinci robot system: is it worth it? Surg Endosc 22:1690–1696

    Article  PubMed  CAS  Google Scholar 

  14. Hagen ME, Inan I, Pugin F et al (2007) The da Vinci surgical system in digestive surgery. Rev Med Suisse 3:1622–1626

    PubMed  Google Scholar 

  15. Parini U, Fabozzi M, Contul RB et al (2006) Laparoscopic gastric bypass performed with the da Vinci Intuitive Robotic System: preliminary experience. Surg Endosc 20:1851–1857

    Article  PubMed  CAS  Google Scholar 

  16. Jacobsen G, Berger R, Horgan S (2003) The role of robotic surgery in morbid obesity. Laparoendosc Adv Surg Tech A 13:279–283

    Article  Google Scholar 

  17. Snyder BE, Wilson T, Scarborough T et al (2008) Lowering gastrointestinal leak rates: a comparative analysis of robotic and laparoscopic gastric bypass. J Robotic Surg 2:159–163

    Article  Google Scholar 

  18. Blachar A, Federle MP, Pealer KM et al (2002) Gastrointestinal complications of laparoscopic Roux-en-Y gastric bypass surgery: clinical and imaging findings. Radiology 223:625–632

    Article  PubMed  Google Scholar 

  19. Sanchez BR, Mohr CJ, Morton JM et al (2005) Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 1:549–554

    Article  PubMed  Google Scholar 

  20. Curet MJ, Soloman H, Lui G et al (2009) Comparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic hand sewn Roux-en-Y gastric bypass. J Robot Surg 3:75–78

    Article  Google Scholar 

  21. Hagen ME, Pugin F, Chassot G et al (2012) Reducing cost of surgery by avoiding complications: the model of robotic Roux-en-Y gastric bypass. Obes Surg 22:52–61

    Article  PubMed  Google Scholar 

  22. Schauer P, Ikramuddin S, Hamad G et al (2003) The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc 17:212–215

    Article  PubMed  CAS  Google Scholar 

  23. Oliak D, Ballantyne GH, Weber P et al (2003) Laparoscopic Roux-en-Y gastric bypass: defining the learning curve. Surg Endosc 17:405–408

    Article  PubMed  CAS  Google Scholar 

  24. Buchs NC, Pugin F, Bucher P et al (2012) Learning curve for robot-assisted Roux-en-Y gastric bypass. Surg Endosc 26:1116–1121

    Article  PubMed  Google Scholar 

  25. Yu CJ, Clapp BI, Lee MJ et al (2006) Robotic assistance provides excellent outcomes during the learning curve for laparoscopic Roux-en-Y gastric bypass: results from 100 robotic-assisted gastric bypasses. Am J Surg 192:746–749

    Article  PubMed  Google Scholar 

  26. Tieu K, Allison N, Snyder B et al (2013) Robotic-assisted Roux-en-Y gastric bypass: update from 2 high-volume centers. Surg Obes Relat Dis 9:284–288

    Article  PubMed  Google Scholar 

  27. Patel S, Szomstein S, Rosenthal RJ (2011) Reasons and outcomes of reoperative bariatric surgery for failed and complicated procedures (excluding adjustable gastric band). Obes Surg 21:1209–1219

    Article  PubMed  Google Scholar 

  28. Snyder B, Wilson T, Woodruff V (2013) Robotically assisted revision of bariatric surgeries is safe and effective to achieve further weight loss. World J Surg. doi:10.1007%2Fs00268-013-1968-y Mar 1, 2013 Epub ahead of print

    Google Scholar 

  29. Sudan R, Bennett KM, Jacobs DO et al (2012) Multifactorial analysis of the learning curve for robot-assisted laparoscopic biliopancreatic diversion with duodenal switch. Ann Surg 255:940–945

    Article  PubMed  Google Scholar 

  30. Sudan R, Desai S (2011) Conversion of laparoscopic adjustable gastric band to robot-assisted laparoscopic biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis 7:546–547

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University of Texas Health Science Center at Houston, 6431 Fannin Street, Suite, 4.200, Houston, TX, 77030, USA

    Erik B. Wilson

  2. Department of Surgery, Duke University School of Medicine, DUMC 3951, Durham, NC, 27710, USA

    Ranjan Sudan

Authors
  1. Erik B. Wilson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ranjan Sudan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Erik B. Wilson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wilson, E.B., Sudan, R. The Evolution of Robotic Bariatric Surgery. World J Surg 37, 2756–2760 (2013). https://doi.org/10.1007/s00268-013-2125-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-013-2125-3

Keywords

Search

Navigation