Robotic Versus Laparoscopic Bariatric Surgery: a Systematic Review and Meta-Analysis Obes Surg. 2016 Dec;26(12):3031-3044. doi: 10.1007/s11695-016-2408-5. Authors Kun Li 1. For example, laparoscopic bariatric surgery can only offer 2D imaging and a limited range of motion. In contrast, robotic surgery provides 3D HD visibility and instruments that are capable of bending and rotating within small spaces far more efficiently than the human wrist could We aim to summarize the available literature on patients treated with robotic bariatric surgery (RBS) or laparoscopic bariatric surgery (LBS) and compare the clinical outcomes between RBS and LBS. A systematic literature was conducted in accordance with the PRISMA guidelines. Thirty-four observational studies met our inclusion criteria, and 27 studies of 27,997 patients were included in the.
Robotic surgery is similar to laparoscopic surgery in the respect that they both use small incisions, a camera and surgical instruments. However, instead of holding and manipulating the surgical instruments his or herself, during robotic surgery, your MedStar Surgeon will sit at a computer console and use controls to manipulate the robot Surgery by robots has several advantages compared to traditional laparoscopy. First, the console uses high-definition cameras, which allow surgeons to view the abdomen and pelvis clearly. And the depth perception is much better during surgery because of the 3D view, as opposed to a 2D view of traditional laparoscopy Objective: Compare robotic versus laparoscopic roux-en-Y gastric bypass (RYGB) for the treatment of morbid obesity in a community hospital. Introduction: Since receiving Food and Drug Administration approval in 2000, surgery utilizing a robot (da Vinci® Surgical System) has been successfully performed in numerous procedures including RYGB Prospective randomized trials comparing robotic and laparoscopic outcomes are needed to further define the role of robotics within the field of bariatric surgery. Longer follow-up times would also help elucidate any long-term outcomes differences with the use of robotics versus traditional laparoscopy From this general observation, most authors report longer operative times for gastric bypass surgery when using the robotic approach rather than standard laparoscopy. 13, 16, 18, 20, 30, 32 A few studies report the opposite. 14, 19 For example, Ayloo et al. included 45 laparoscopic bypasses and 90 that were robot-assisted performed by the same.
With respect to surgical outcomes, robotic compared with laparoscopic gastrectomy was associated with higher operating time [MD 44.73, (95%CI 36.01, 53.45) p < 0.00001] and less intraoperative blood loss [MD -18.24, (95%CI -25.21, -11.26) p < 0.00001] and lower rate of surgical complication in terms of Dindo-Clavien ≥ 3 classification [OR 0.66, (95%CI 0.49, 0.88) p = 0.005] Laparoscopic sleeve gastrectomy has become the procedure of choice for the treatment of morbid obesity. Robotic sleeve gastrectomy is an alternative surgical option, but its utilization has been low Some studies suggest that the learning curve for robotic bariatric surgery may be shorter than that of laparoscopic bariatric surgery [24,25]. Buchs et al. reported that after the learning curve is overcome for RRYGB, there is no longer a difference in operative time between the laparoscopic and robotic-assisted approaches. Thus, the increase. Background: The objective of this study was to examine the MBSAQIP database to assess efficiency trends and perioperative outcomes in robotic bariatric surgery. Methods: Robotic (RA) and laparoscopic (L) sleeve gastrectomy (SG) and gastric bypass (RYGB) were compared using the 2015-2018 MBSAQIP Participant Use Data Files. Patients were propensity matched 1:1 based on sex, body mass index. Bariatric Surgery in Class I Obesity Published September 2012 ( the laparoscopic approach has largely replaced open surgery) Ahmad, A., Carleton, J.D., Ahmad, Z.F. et al. Laparoscopic versus robotic-assisted Roux-en-Y gastric bypass: a retrospective, single-center study of early perioperative outcomes at a community hospital
Robotic surgery can facilitate more complex procedures by providing superior imaging and freedom of movement during the procedure. The aim of our study is to evaluate prospectively the outcomes of robotic compared to laparoscopic revisional bariatric surgery in terms of perioperative outcomes such as complication rates, operative time and. Indeed it is widely recognized that robotic bariatric surgery, in particular RRYGB, has a steeper learning curve than laparoscopic approach and 20 cases may be enough to pass the basic learning phase A meta-analysis of robotic-assisted pancreatectomy vs. laparoscopic and open pancreatectomy showed increased R0 resection rates and spleen preserving rates for the robotic approach in comparison with laparoscopic and open surgery Robotic distal gastrectomy (RDG) has been increasingly used for the treatment of gastric cancer (GC). However, whether RDG has a clinical advantage over laparoscopic distal gastrectomy (LDG) is yet to be determined. Thus, this study aimed to assess the feasibility and safety of RDG for the treatment of GC as compared with LDG. In total, 157 patients were enrolled between February 2018 and.
Robotic bariatric surgery is an alternative to laparoscopy. It gives the surgeon an accurate three-dimensional view, allowing complex maneuvers while maintaining full control of the theater. We report our experience with this innovative surgery compared with laparoscopy during Roux-en-Y gastric bypass, to demonstrate its safety and feasibility. Our single-center study retrospectively. In a meta-analysis evaluating robotic versus laparoscopic bariatric surgery, Li et al. completed a systematic review and meta-analysis of 27 studies comprising a total of 27,947 cases. They found the advantages of robotic surgery were not clear
Introduction Robotic-assisted bariatric surgery is increasingly performed. There remains controversy about the overall benefit of robotic-assisted (RBS) compared to conventional laparoscopic (LBS) bariatric surgery. In this study, we used a large national risk-stratified bariatric clinical database to compare outcomes between robotic and laparoscopic gastric bypass (RNYGB) and sleeve. Laparoscopic vs Robotic Bariatric Surgery. While robotic surgeries in a weight loss bring with them benefits of faster time, better dexterity and movements, many surgeons are yet to step up to this method. Laparoscopic surgeries have done their time and proven their medical success with lesser complicated setups as opposed to the robotic variant
For bariatric surgeries we found an average contribution margin of $14,149 for laparoscopic vs $6,165 for robot assisted. Conclusions: Robotic surgery has been associated with higher costs and longer operative times. In this economic climate of increased cost awareness with institutions under increasing financial pressures, judicious use of. To date, robotic surgery has been widely used worldwide. We conducted a systematic review and meta-analysis to evaluate short-term and long-term outcomes of robotic gastrectomy (RG) in gastric cancer patients to determine whether RG can replace laparoscopic gastrectomy (LG). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was applied to perform the study TABLE 1 Comparative series of robotic versus laparoscopic Roux‐en‐Y Gastric Bypass Study Approach Number of patients, n BMI kg/m2 Technique GJ Anastomosis ORT, min Conversion, % Overall Complications, % Leaks, % Stricture, % Reoperations, % Ahmad et al.12 R 172 47.4 Handsewn 155 0 ‐ 00 0 L 173 46.2 Handsewn 135 0 ‐ 00 Introduction: Robotic surgical systems have been used at a rapidly increasing rate in general surgery for procedures that have traditionally been performed laparoscopically. The potential increased cost of a robotic compared to laparoscopic approach is concerning in this era of increased attention to health care costs. In a surgical encounter, a significant portion of total costs is associated. Introduction. Obesity is a worldwide health problem that increases morbidity and mortality. 1 In the United States, the prevalence of obesity is roughly 35% in adults. 2 As the prevalence of obesity increases, one can expect the prevalence of surgery for obese patients to also increase. In pelvic surgeries (i.e., urologic, gynecologic, distal colorectal surgery), robotic assistance conveys.
Gastric Bypass, Laparoscopic . 43644 Laparoscopy, surgical, gastric restrictive S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to Surgery: Digestive System -- Bariatric Surgery . 7. Code43848 is used for open revision or reversal ofgastricrestrictive procedures,e.g., converting banding to. In this paper, Nasser et al.  examine how the use of the robotic technique affects outcomes of revisional bariatric surgery, using Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data from 2015, 2016, and 2017. The focus of this study was revisional sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) procedures Complication rates in robotic versus laparoscopic revisional surgery. The findings in this paper indicate that RRWLS and LRWLS are equivalent in complication rates. Robotic surgeons often cite revisional bariatric surgery, which is known to be technically challenging, as justification for using a robot
23. Corcione F, et al. Advantages and limits of robot-assisted laparoscopic surgery. Surg Endosc (2005) 19: 117-119. 24. Muhlmann G, et al. DaVinci Robotic-Assisted Laparoscopic Bariatric Surgery: Is it Justified in a Routine Setting? Obes Surg (2003) 13, 848-854. 25. Hubens G, Coveliers H, Balliu L, Ruppert M, Vaneerdeweg W Compared to laparoscopic surgery, robotic surgery offers the possibility for Endowrist, and this action facilitates the oversewing of the stapled line. The upper part of the sleeve, close to the esophageal gastric junction, is a crucial zone where more than 95 % of the leaks occur [ 8 ] Minimally invasive surgery for gastric cancer: a comparison between robotic, laparoscopic and open surgery World J. Gastroenterol. , 23 ( 13 ) ( 2017 ) , pp. 2376 - 2384 CrossRef View Record in Scopus Google Schola
Edelson PK, Dumon KR, Sonnad SS, et al. Robotic vs. conventional laparoscopic gastric banding: a comparison of 407 cases. Surg Endosc 2011;25:1402-8. Carrodeguas L, Szomstein S, Zundel N, et al. Gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass surgery: analysis of 1291 patients Very few studies have compared robotic-assisted (RRBS) versus laparoscopic revisional bariatric surgeries (LRBS). To date, there has not been a prospective study comparing the perioperative outcomes of patients undergoing robotic-assisted and laparoscopic revisional bariatric surgery Importance This review provides a comprehensive comparison of treatment outcomes between robot-assisted laparoscopic surgery (RLS) and conventional laparoscopic surgery (CLS) based on randomly-controlled trials (RCTs). Objectives We employed RCTs to provide a systematic review that will enable the relevant community to weigh the effectiveness and efficacy of surgical robotics in controversial. Robotic vs Laparoscopic vs Open Surgery February 26, 2018 NYU Langone Long Island Surgical Associates is composed of a multidisciplinary team of general surgeons and surgical oncologists that routinely treat complex conditions in and around the abdominal area
Conclusions: Revisional robotic surgery shows better results compared to standard laparoscopic revisional bariatric surgery in terms of efficacy, safety and hospital stay Patients undergoing primary bariatric surgery (laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy) at an accredited institution between 2015 and 2017 were included
The use of laparoscopic versus robotic technique was nonrandomized and determined by patient preference as well as the availability of robotic technology. All patients underwent identical preoperative evaluation, including a psychological evaluation and cardiovascular clearance in accordance with American Society of Metabolic and Bariatric. Indeed, after a comparison of 320 robotic vs. 356 laparoscopic RYGB, they found a reduced gastrointestinal leak rate (0 vs. 1.7%; p=0.05). More recently, Hagen et al have published a large comparison of 524 open, 323 laparoscopic and 143 robotic RYGB. They have shown a significant reduction of anastomotic leak after open or robotic approach (1. There was a significantly reduced incidence of anastomotic stricture in the robotic group (POR = 0.43; 95% CI = 0.19 to 0.98; p = 0.04). There was no significant difference between robotic and laparoscopic groups for anastomotic leak, post-operative complications, operative time and length of hospital stay Dive Brief: A new meta-analysis comparing robot-assisted abdominal pelvic surgery with laparoscopy, open surgery, or both, finds that robotic platforms are costly and result in longer operative duration than laparoscopy, but with no obvious difference versus open surgery in terms of the quality of evidence and outcomes.; The analysis pubilshed in the Annals of Internal Medicine, which includes.
More studies with longer follow-up periods are needed to clarify the difference between laparoscopic and robotic bariatric surgery. Structure-preserving surgery Pylorus-preserving pancreaticoduodenectomy (PD) is a complex surgery, and most cases are performed through conventional open surgery [ 36 ] Robotic bariatric surgery is a safe procedure with a short learning curve, outcomes comparable to laparoscopy and other benefits of robotic technology. View Show abstrac
According to the most recent estimates by the American Society for Metabolic and Bariatric Surgery, sleeve gastrectomy (SG) is now the most commonly performed bariatric surgery in the United States . Its popularity is a reflection of its relative ease, low complication rate, and excellent short- and intermediate-term outcomes. Most SGs are performed using conventional laparoscopy in a. This produces weight loss similar to the Roux-en-Y gastric bypass. Moreover, it is superior to the laparoscopic adjustable band, or lap band. So, if you're interested in bariatric surgery, our weight loss surgery experts can meet with you to help determine whether the procedure is right for you
Robotic vs. Laparoscopic Bariatric Surgery Looking for weight loss surgery? Find all the information you need on robotic vs. laparoscopic bariatric surgery from Colorado Bariatric Surgery Institute Laparoscopic versus robotic subtotal splenectomy in hereditary spherocytosis. Is there a role for enhanced recovery after laparoscopic bariatric surgery? Preliminary results from a specialist obesity treatment center. Surg Obes Relat Dis 2015; pii: S1550-7289(15)00063-5 The evolution of robotic bariatric surgery. World J Surg. 2013 Jun 19. Fowler FJ Jr. Adverse effects of robotic-assisted laparoscopic versus open retropubic radical prostatectomy among a.
Warning: This video contains actual surgical footage which may not be suitable for all viewers.Cleveland Clinic's bariatric surgery team demonstrates laparos.. . Vincent W. Vanek, MD, FACS, CNSP. HISTORY Obesity has been increasing at epidemic proportions and results in an increase in mortality and morbidity and a decrease in quality of life. 1-8 Obesity is defined and classified based on an individual's body mass index or BMI (Table 1).The incidence of obesity (BMI > 30 or about 30 pounds overweight) in adults in the.
. Introduction Laparoscopic surgery has been adopted in some parts of the world as an innovative approach to the resection of gastric cancers. However, in the modern era of surgical oncology, to overcome intrinsic limitations of the traditional laparoscopy, the robotic approach is advocated as able to facilitate the lymph node dissection and complex reconstruction after gastrectomy, to assure. Generally, robotic gastrectomy is known to have some advantages over laparoscopic surgery in reducing perioperative bleeding [17, 24, 30]. In our study, we also concluded that robotic surgery can reduce intraoperative bleeding compared to laparoscopic surgery after PSM (154.37 ± 89.68 vs. 183.77 ± 95.39 ml, p = 0.004). Although the mean.
Robotic Versus Laparoscopic Bariatric Surgery: a Systematic Review and Meta-Analysis. Li K, Zou J, Tang J, Di J, Han X, Zhang P. Obes Surg, 26(12):3031-3044, 01 Dec 2016 Cited by: 14 articles | PMID: 27726045. Review. Claim to ORCID Open PDF Get citation. About. About Europe PMC. Funders. Joining Europe PMC. A robotic gastric surgery procedure which uses both Single-Site platform and fluorescence image-guided technology was started at our institution in July 2015. Robotic vs laparoscopic distal. Weight-loss surgery has evolved dramatically in the last 20 years, and now the newest weapon in the fight against obesity is available at UT Southwestern: Robotic bariatric surgery. Learn about the advantages of the new technology from bariatric surgeon and division chief Benjamin Schneider, M.D., in this week's MedBlog M.A.H. has received a grants from Johnson & Johnson Medical and Medtronic for multicentre RCTs in laparoscopic liver and pancreatic surgery. M.G.B. has received grants from Johnson & Johnson Medical, Medtronic and Intuitive for training programmes and multicentre RCTs in laparoscopic and robotic pancreatic surgery
. Cadiere and Himpens did the first robotic cholecystectomy in Brussels, not long after the first cholecystectomy, they performed the first robotic bariatric procedure. It is believed that robotically-assisted surgery's most notable contributions are reflected in its ability to extend the benefits of minimally invasive surgery to procedures not. With robotic procedures, hospital stays and recovery times are typically shorter. Patients often return to normal function quicker than with standard open or laparoscopic surgery. This is due to more precise suture handling, better optics and improved mesh application, among other procedural benefits, Dr. Krosch says Regarding surgeon mental workload, as measured by the NASA-TLX instrument, there was a significantly higher mean (SD) level of surgeon frustration for the robotic group vs the laparoscopic group (32.7 [23.5] vs 20.1 [19.2]; P = .004), and mean [SD] increased effort of surgeons in the robotic group vs the laparoscopic group (36.7 [23.3] vs 27.4. Patients treated with robotic surgery showed significantly longer operative time (robotic = 221 minutes vs laparoscopic = 178 minutes; P < 0.001) and significantly higher total costs (robotic = US$13,432 vs laparoscopic = US$8090; P < 0.001), compared with those who underwent laparoscopic gastrectomy. No significant differences between groups.
Background: Roux-en-Y gastric bypass performed laparoscopically remains the gold standard in bariatric surgery. The role of robot-assisted laparoscopic Roux-en-Y gastric bypass has not been clearly defined. Methods: We present 80 consecutive cases of robot-assisted laparoscopic Roux-en-Y gastric bypass performed at a single institution. Mechanics, early outcomes, and learning curve are evaluated The study is designed to explore the clinical outcomes of the robotic distal gastrectomy by comparing short- and long-term outcomes including financial cost of robotic and laparoscopic distal gastrectomy in the treatment of gastric adenocarcinoma （cT1-4a, N-/+, M0） He also performed bariatric surgery on a 6-year-old boy, the youngest person to perform such surgery in India. First surgeon to perform robotic bypass/robotic duodenal jejunal bypass/robotic sleeve surgery in India. First surgeon to start SILS (Single incision Laparoscopic Surgery) procedure in central India After training, the team started performing totally robotic laparoscopic Roux-en-Y gastric bypasses within our established bariatric surgery program. All patients admitted to this program must meet the NIH criteria for weight reduction surgery, undergo extensive nutritional and psychological counseling, and achieve preoperative weight loss . Li K, Zou J, Tang J, Di J, Han X, Zhang P. Obes Surg, 26(12):3031-3044, 01 Dec 2016 Cited by: 15 articles | PMID: 27726045. Revie
Bariatric surgery is an effective treatment to obtain weight loss in severely obese patients. The feasibility and safety of bariatric robotic surgery is the topic of this review. A search was performed on PubMed, Cochrane Central Register of Controlled Trials, BioMed Central, and Web of Science. Twenty-two studies were included. Anastomotic leak rate was 8.51% in biliopancreatic diversion. 30. Robotic surgery has been implemented in Brazil in recent years, also in bariatric surgery. The objective of this study was to evaluate a series of cases submitted to Robotic-assisted Roux-en-Y Gastric Bypass (RA-RYGB) or Sleeve Gastrectomy (RA-SG), and to compare them with a conventional laparoscopic group Junfeng Z, Yan S, Bo T, Yingxue H, Dongzhu Z, Yongliang Z, Feng Q, Peiwu Y. Robotic gastrectomy versus laparoscopic gastrectomy for gastric cancer: comparison of surgical performance and short-term outcomes. Surg Endosc. 2014 Jun;28(6):1779-87. doi: 10.1007/s00464-013-3385-6. Epub 2014 Jan 3 The results of 100 robotic versus 100 laparoscopic gastric bypass procedures: a single high volume centre experience. Obes Surg 2016;26:1266-1273. Crossref, Medline, Google Scholar; 27. Ayloo SM, Choudhury N. Robotic revisional bariatric surgery: single-surgeon case series. Int J Med Robot 2015;11:284-289. Crossref, Medline, Google Scholar; 28