medigraphic.com
ISSN 1665-2576 (Print)

2008, Number 4

<< Back Next >>

Rev Mex Cir Endoscop 2008; 9 (4)

Role of the robotic surgery in the treatment of obesity

Ortiz OE, Hernández PC, Ramos CA, Pardo MC, Álvarez Fernández-Represa J

Language: Spanish
References: 24
Page: 194-201
PDF size: 98.08 Kb.


ABSTRACT

Background: Robotic assistance introduction into minimally invasive surgery has provided advantages making possible to perform more complex techniques by laparoscopy. Several bariatric surgery teams are nowadays incorporating robotic surgery. Surgical techniques and outcomes are described in this paper. Methods: The surgical steps of the robot Da Vinci assistance during laparoscopic gastric bypass are explained. This is the most frequently robot-assisted bariatric technique due to its complexity. Robotic assistance implies some technical differences with respect to the traditional laparoscopic approach and makes the handsewn gastrojejunostomy easier to perform. Results: Up to now, results support advantages of the robotic-assisted laparoscopic approach in very high BMI patients (superobese patients) and during the learning curve. Moreover, fewer incidences of postoperative gastrojejunal leaks are also reported. Conclusions: Although experience is still limited, robotic assistance has provided some advantages to the laparoscopic gastric bypass technique and its outcome.


REFERENCES

  1. Hernández PC. Evolución histórica de la cirugía de la obesidad. En: Rubio Herrera MA, ed. Manual de obesidad mórbida. Madrid, Panamericana, 2006: 197-208.

  2. Sugerman HJ, Kellum JM, Engle KM, Wolfe L, Starkey JV, Birkenhauer R, Fletcher P, Sawyer MJ. Gastric bypass for treating severe obesity. Am J Clin Nutr 1992; 55(2 Suppl): 560S-566S.

  3. Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Roux-en-Y- 500 patients: technique and results, with 3-60 month follow-up. Obes Surg 2000; 10(3): 233-239.

  4. Higa KD, Boone KB, Ho T. Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients—what have we learned? Obes Surg 2000; 10(6): 509-513.

  5. Tice JA, Karliner L, Walsh J, Petersen AJ, Feldman MD. Gastric banding or bypass? A systematic review comparing the two most popular bariatric procedures. Am J Med 2008; 121(10): 885-893.

  6. Ortiz OE. Introducción de la cirugía robótica en la red sanitaria pública española. Incorporación de un robot Da Vinci a la Cirugía del Hospital Clínico San Carlos de Madrid. SECLAEndosurgery Nº 17 (Octubre-Diciembre 2006). En Internet: http://www.seclaendosurgery.com/seclan17/articulos/reportaje.htm ISSN: 1698-4412.

  7. Cadiere GB, Himpens J, Vertruyen M, Favretti F. The world’s first obesity surgery performed by a surgeon at a distance. Obes Surg 1999; 9(2): 206-209.

  8. Horgan S, Vanuno D. Robots in laparoscopic surgery. J Laparoendosc Adv Surg Tech A 2001; 11(6): 415-419.

  9. Mohr CJ, Nadzam GS, Curet MJ. Totally robotic Roux-en-Y gastric bypass. Arch Surg 2005; 140(8): 779-786.

  10. Sanchez BR, Mohr CJ, Morton JM, Safadi BY, Alami RS, Curet MJ. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2005; 1(6): 549-554.

  11. Mohr CJ, Nadzam GS, Alami RS, Sanchez BR, Curet MJ. Totally robotic laparoscopic Roux-en-Y Gastric bypass: results from 75 patients. Obes Surg 2006; 16(6): 690-696.

  12. Hubens G, Balliu L, Ruppert M, Gypen B, Van Tu T, Vaneerdeweg W. Roux-en-Y gastric bypass procedure performed with the da Vinci robot system: is it worth it? Surg Endosc 2008; 22(7): 1690-1696.

  13. Morel P, Hagen M, Pugin F, Chassot G, Inan I. Total robotic Roux-en-Y gastric bypass. Comunicación oral. 3rd International Congress MIRA 2008. Roma (Italia).

  14. Hagen M, Pugin F, Chassot G, Inan I, Morel P. Comparison of direct costs for robotic and laparoscopic Roux-en-Y gastric bypass. Comunicación oral. 3rd International Congress MIRA 2008. Roma (Italia).

  15. Moser F, Horgan S. Robotically assisted bariatric surgery. Am J Surg 2004; 188(4A Suppl): 38S-44S.

  16. Ali MR, Bhaskerrao B, Wolfe BM. Robot-assisted laparoscopic Roux-en-Y gastric bypass. Surg Endosc 2005; 19(4): 468-472.

  17. Ali MR, Rasmussen JJ. Switching robotic surgical systems does not impact surgical performance. J Laparoendosc Adv Surg Tech A 2008; 18(1): 32-36.

  18. Artuso D, Wayne M, Grossi R. Use of robotics during laparoscopic gastric bypass for morbid obesity. JSLS 2005; 9(3): 266-268.

  19. Yu SC, Clapp BL, Lee MJ, Albrecht WC, Scarborough TK, Wilson EB. 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 2006; 192(6): 746-749.

  20. Parini U, Fabozzi M, Contul RB, Millo P, Loffredo A, Allieta R, Nardi M Jr, Lale-Murix E. Laparoscopic gastric bypass performed with the Da Vinci Intuitive Robotic System: preliminary experience. Surg Endosc 2006; 20(12): 1851-1857.

  21. Deng JY, Lourié DJ. 100 robotic-assisted laparoscopic gastric bypasses at a community hospital. Am Surg 2008; 74(10): 1022-1025.

  22. Cadière GB, Himpens J, Germay O, Izizaw R, Degueldre M, Vandromme J, Capelluto E, Bruyns J. Feasibility of robotic laparoscopic surgery: 146 cases. World J Surg 2001; 25(11): 1467-1477.

  23. Mühlmann G, Klaus A, Kirchmayr W, Wykypiel H, Unger A, Höller E, Nehoda H, Aigner F, Weiss HG. DaVinci robotic-assisted laparoscopic bariatric surgery: is it justified in a routine setting? Obes Surg 2003; 13(6): 848-854.

  24. Ayloo S, Sbrana F, Giulianotti PC. Robotic assisted laparoscopic sleeve gastrectomy. Comunicación oral. 3rd International Congress MIRA 2008. Roma (Italia).




2020     |     www.medigraphic.com