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Robotic Sleeve Gastrectomy Versus Laparoscopic Sleeve Gastrectomy: a Comparative Study with 200 Patients

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Abstract

The da Vinci Surgical System® has shown its possible indications in obesity surgery. This clinical study aims to elucidate the benefits, potentials, or problems of applying robotic technology for sleeve gastrectomy (SG). Data from 200 patients who underwent SG either performed by laparoscopy or robotic approach were assessed. A review of the data was analyzed with 1-year follow-up. There were 143 female patients. Mean age was 43.6 years. Mean BMI was 48.4 kg/m2. Operative time was longer for the robotic SG group (p < 0.005). The overall leak rate was 3.5 %. Robotic SG is feasible and may be an initial procedure to undergo more complex procedures. Cost issues and operative times will need to be more clearly estimated in the future.

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References

  1. Deitel M, Gagner M, Erickson AL, et al. Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7:749–59.

    Article  PubMed  Google Scholar 

  2. Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009;5:469–75.

    Article  PubMed  Google Scholar 

  3. Jacobsen G, Berger R, Horgan S. The role of robotic surgery in morbid obesity. J Laparoendosc Adv Surg Tech A. 2003;13:279–83.

    Article  PubMed  Google Scholar 

  4. Cadiere GB, Himpens J, Vertruyen M, et al. The world’s first obesity surgery performed by a surgeon at a distance. Obes Surg. 1999;9:206–9.

    Article  PubMed  CAS  Google Scholar 

  5. Schauer P, Ikramuddin S, Hamad G, et al. The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc. 2003;17:212–5.

    Article  PubMed  CAS  Google Scholar 

  6. Oliak D, Owens H, Schmidt HJ. Laparoscopic Roux-en-Y gastric bypass: refining the learning curve. Surg Endosc. 2003;17:405–8.

    Article  PubMed  CAS  Google Scholar 

  7. Boza C, Salinas J, Salgado N, et al. Laparoscopic sleeve gastrectomy as a stand-alone procedure for morbid obesity: report of 1,000 cases and 3-year follow-up. Obes Surg. 2012;22:866–71.

    Article  PubMed  Google Scholar 

  8. Rosenthal RJ, International Sleeve Gastrectomy Expert Panel, Diaz AA, Arvidsson D, Baker RS, Basso N, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8:8–19.

    Article  PubMed  Google Scholar 

  9. Chopra A, Chao E, Etkin Y, et al. Laparoscopic sleeve gastrectomy for obesity: can it be considered a definitive procedure? Surg Endosc. 2012;26:831–7.

    Article  PubMed  Google Scholar 

  10. Ayloo SM, Addeo P, Buchs NC, et al. Robot-assisted versus laparoscopic Roux-en-Y gastric bypass: is there a difference in outcomes? World J Surg. 2011;35:637–42.

    Article  PubMed  Google Scholar 

  11. Muhlmann G, Klaus A, Kirchmayr W, et al. DaVinci robotic assisted laparoscopic bariatric surgery: is it justified in a Soutine setting? Obes Surg. 2003;13:848–54.

    Article  PubMed  Google Scholar 

  12. Snyder BE, Wilson T, Leong BY, et al. Robotic-assisted Roux-en-Y Gastric bypass: minimizing morbidity and mortality. Obes Surg. 2010;20:265–70.

    Article  PubMed  Google Scholar 

  13. Sanchez BR, Mohr CJ, Morton JM. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1:549–54.

    Article  PubMed  Google Scholar 

  14. Moser F, Horgan S. Robotically assisted bariatric surgery. Am J Surg. 2004;188:38S–44.

    Article  PubMed  Google Scholar 

  15. Hubens G, Balliu L, Ruppert M, et al. Roux-en-Y gastric bypass procedure performed with the da Vinci robot system: is it worth it? Surg Endosc. 2008;22:1690–6. Epub 2007 Dec 11.

    Article  PubMed  CAS  Google Scholar 

  16. Vilallonga R, Fort JM, Gonzalez O, et al. The initial learning curve for robot-assisted sleeve gastrectomy: a surgeon’s experience while introducing the robotic technology in a bariatric surgery department. Minim Invasive Surg. 2012;2012:347131. doi:10.1155/2012/347131.

    PubMed  Google Scholar 

  17. Ayloo S, Buchs NC, Addeo P, et al. Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech A. 2011;21:295–9.

    Article  PubMed  Google Scholar 

  18. Frezza EE, Reddy S, Gee LL, et al. Complications after sleeve gastrectomy for morbid obesity. Obes Surg. 2009;19:684–7.

    Article  PubMed  Google Scholar 

  19. Chen B, Kiriakopoulos A, Tsakayannis D, et al. Reinforcement does not necessarily reduce the rate of staple line leaks after sleeve gastrectomy. A review of the literature and clinical experiences. Obes Surg. 2009;19:166–72.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  22. Scozzari G, Rebecchi F, Millo P, et al. Robot-assisted gastrojejunal anastomosis does not improve the results of the laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2011;25:597–603.

    Article  PubMed  Google Scholar 

  23. Markar SR, Penna M, Hashemi M. Robotic bariatric surgery: bypass, band and sleeve. Where are we now? And what is the future? Minerva Gastroenterol Dietol. 2012;58:181–90.

    PubMed  CAS  Google Scholar 

  24. Deng JY, Lourié DJ. 100 robotic-assisted laparoscopic gastric bypasses at a community hospital. Am Surg. 2008;74:1022–5.

    PubMed  Google Scholar 

  25. Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008;247:401–7.

    Article  PubMed  Google Scholar 

  26. Karmali S, Schauer P, Birch D, et al. Laparoscopic sleeve gastrectomy: an innovative new tool in the battle against the obesity epidemic in Canada. Can J Surg. 2010;53:126–32.

    PubMed  Google Scholar 

  27. Mohr CJ, Nadzam GS, Curet MJ. Totally robotic Roux-en-Y gastric bypass. Arch Surg. 2005;140:779–86.

    Article  PubMed  Google Scholar 

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Acknowledgments

The Dr. Ramon Vilallonga Foundation has contributed to the financial support for the preparation of the manuscript (www.fundacioramonvilallonga.org).

Conflict of Interests Disclosure Statement

All the authors have no conflict of interest.

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Authors and Affiliations

  1. Endocrine, metabolic and bariatric Unit. General Surgery Department, Universitary Hospital Vall d’Hebron, Center of Excellence for the EAC-BC, Passeig de la Vall d’Hebron, 119-129, 08035, Barcelona, Spain

    Ramon Vilallonga, José Manuel Fort, Enric Caubet & Oscar Gonzalez

  2. General Surgery Department, Universitary Hospital Vall d’Hebron, Barcelona, Spain

    Manel Armengol

  3. Universitat Autònoma de Barcelona (UAB), Barcelona, Spain

    Ramon Vilallonga, José Manuel Fort, Enric Caubet, Oscar Gonzalez & Manel Armengol

Authors
  1. Ramon Vilallonga
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  2. José Manuel Fort
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  3. Enric Caubet
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  4. Oscar Gonzalez
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  5. Manel Armengol
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Correspondence to Ramon Vilallonga.

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Vilallonga, R., Fort, J.M., Caubet, E. et al. Robotic Sleeve Gastrectomy Versus Laparoscopic Sleeve Gastrectomy: a Comparative Study with 200 Patients. OBES SURG 23, 1501–1507 (2013). https://doi.org/10.1007/s11695-013-1039-3

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  • DOI: https://doi.org/10.1007/s11695-013-1039-3

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