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2020, Number 3

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Rev Mex Cir Endoscop 2020; 21 (3)

Robot-assisted versus laparoscopic gastric bypass in superobesity (body mass index ≥ 50 kg/m2). Four-year experience of one center

Carrillo CVA, Torices DE, Montoya RJ

Language: Spanish
References: 17
Page: 133-138
PDF size: 244.54 Kb.


ABSTRACT

Introduction: Super obesity is a surgical challenge for the surgeon. As a consensus, the performance of sleeve gastrectomy is accepted as step-up management to reduce the complications associated with a more complex surgery such as the gastric bypass. However, the introduction of robotic technology and its application on bariatric surgery in 2001, has made it possible to perform primary gastric bypass on this type of patients. Aim: To demonstrate the benefits of robotic technology in the execution of gastric bypass on patients with super obesity. Material and methods: Reviewing of the electronic file of all patients with BMI > 50 kg/m2 undergoing simplified gastric bypass as a primary procedure from February 2012 to April 2019 at the CMN 20 de Noviembre. They were divided into two groups according to the approach: the laparoscopic (control) and the robotic (cases). Surgical time, days of hospital stay, intraoperative complications, early postoperative complications, reoperations and mortality were compared between the two groups. Results: There were 22 patients in the laparoscopic group and 37 patients in the robotic group. Robotic-assisted gastric bypass decreased surgical time by an average of 64 minutes compared to laparoscopic (151.68 ± 39.11 versus 215 ± 85.56 minutes, p = 0.001), there were fewer trans-operative complications (0 versus 13.63%, p = 0.0474) and shorter hospital stay (3.84 ± 2.35 versus 5.45 ± 4.4, p = 0.042). In the robotic group, postoperative complications were less severe, with no leaks or deaths. Conclusions: The Da Vinci robot proved to be beneficial in reducing surgical time, intraoperative complications and days of hospital stay. Although no statistically significant difference was found in the other end-goals, there is a trend towards better results in patients undergoing robotic surgery.


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