期刊论文详细信息
BMC Surgery
Current status of robotic bariatric surgery: a systematic review
Amilcare Parisi3  Adriano Redler4  Giuseppe Noya2  Andrea Coratti1  Jacopo Desiderio3  Stefano Trastulli3  Chiara Listorti2  Claudio Renzi2  Piero Covarelli2  Salvatore Guarino4  Alberto Santoro4  Carlo Boselli2  Roberto Cirocchi3 
[1] Department of General Surgery, Misericordia Hospital, Grosseto, Italy;Department of General and Oncologic Surgery, University of Perugia, Perugia, Italy;Department of Digestive and Liver Surgery Unit, St Maria Hospital, Terni, Italy;Department of Surgical Sciences, “Sapienza” University of Rome, Rome, Italy
关键词: Anastomotic leak;    Complications;    Surgical outcomes;    Duodenal switch;    Gastric banding;    Sleeve gastrectomy;    Gastric bypass;    Robot assisted;    Roux-en-Y gastric bypass;    Robotic;    Bariatric surgery;    Morbid obesity;   
Others  :  1123293
DOI  :  10.1186/1471-2482-13-53
 received in 2013-06-11, accepted in 2013-11-01,  发布年份 2013
PDF
【 摘 要 】

Background

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.

Methods

A search was performed on PubMed, Cochrane Central Register of Controlled Trials, BioMed Central, and Web of Science.

Results

Twenty-two studies were included. Anastomotic leak rate was 8.51% in biliopancreatic diversion. 30-day reoperation rate was 1.14% in Roux-en-Y gastric bypass and 1.16% in sleeve gastrectomy. Major complication rate in Roux-en-Y gastric bypass resulted higher than in sleeve gastrectomy ( 4,26% vs. 1,2%). The mean hospital stay was longer in Roux-en-Y gastric bypass (range 2.6-7.4 days).

Conclusions

The major limitation of our analysis is due to the small number and the low quality of the studies, the small sample size, heterogeneity of the enrolled patients and the lack of data from metabolic and bariatric outcomes. Despite the use of the robot, the majority of these cases are completed with stapled anastomosis. The assumption that robotic surgery is superior in complex cases is not supported by the available present evidence. The major strength of the robotic surgery is strongly facilitating some of the surgical steps (gastro-jejunostomy and jejunojejunostomy anastomosis in the robotic Roux-en-Y gastric bypass or the vertical gastric resection in the robotic sleeve gastrectomy).

【 授权许可】

   
2013 Cirocchi et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150216030116872.pdf 296KB PDF download
Figure 1. 47KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Gastrointestinal surgery for severe obesity: National Institutes of Health consensus development conference statement. Am J Clin Nutr 1992, 55(2):615S-619S.
  • [2]Gregg EW, Cheng YJ, Narayan KM, Thompson TJ, Williamson DF: The relative contributions of different levels of overweight and obesity to the increased prevalence of diabetes in the United States: 1976-2004. Prev Med 2007, 45:348-52.
  • [3]Davis MM, Slish K, Chao C, Cabana MD: National trends in bariatric surgery. 1996-2002. Arch Surg 2006, 141(1):71-74.
  • [4]Adams TD, Pendleton RC, Strong MB, et al.: Health outcomes of gastric bypass patients compared to nonsurgical, nonintervened severely obese. Obesity 2010, 18(1):121-130.
  • [5]Schirmer B: Laparoscopic gastric bypass. In Surgical pitfalls. Edited by Evans SRT. Philadelphia: Saunders Elsevier; 2009:197-222.
  • [6]Markar SR, Karthikesalingam AP, Venkat-Ramen V, Kinross J, Ziprin P: Robotic vs laparoscopic Roux-en-Y gastric bypass in morbidly obese patients: systematic review and pooled analysis. Int J Med Robot 2011, 7(4):393-400.
  • [7]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(1):52-61.
  • [8]Scozzari G, Rebecchi F, Millo P, Rocchietto S, Allieta R, Morino M: Robot-assisted gastrojejunal anastomosis does not improve the results of the laparoscopic Roux-en-Y gastric bypass. Surg Endosc 2011, 25(2):597-603.
  • [9]Fourman MM, Saber AA: Robotic bariatric surgery: a systematic review. Surg Obes Relat Dis 2012, 8(4):483-488.
  • [10]Gill RS, Al-Adra DP, Birch D, et al.: Robotic-assisted bariatric surgery: a systematic review. Int J Med Robot 2011. doi: 10.1002/rcs.400
  • [11]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(3):181-190.
  • [12]Moher D, Liberati A, Tetzlaff J, Altman DG: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009, 6(7):e1000097.
  • [13]Scottish Intercollegiate Guidelines Network (SIGN) guidelines, methodology checklist 3. [http://www.sign.ac.uk/methodology/checklists.html webcite]
  • [14]National Institute for Health and Clinical Excellence. NICE clinical guidelines, Appendix 4 Quality of case series form. [http://www.nice.org.uk/nicemedia/pdf/Appendix_04_qualityofcase_series_form_preop.pdf webcite]
  • [15]Abdalla RZ, Garcia RB, Luca CR, Costa RI, Cozer CO: Brazilian experience in obesity surgery robot-assisted. Arq Bras Cir Dig 2012, 25(1):33-35.
  • [16]Buchs NC, Bucher P, Pugin F, et al.: Value of performing routine postoperative liquid contrast swallow studies following robot-assisted Roux-en-Y gastric bypass. Swiss Med Wkly 2012, 142:w13556. doi: 10.4414/smw.2012.13556
  • [17]Tieu K, Allison N, Snyder B, Wilson T, Toder M, Wilson E: Robotic-assisted Roux-en-Y gastric bypass: update from 2 high-volume centers. Surg Obes Relat Dis 2013, 9(2):284-288.
  • [18]Vilallonga R, Fort JM, Gonzales 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. Minimally Invasive Surgery 2012. doi:10.1155/2012/347131
  • [19]Ayloo S, Buchs NC, Addeo P, Bianco FM, Giulianotti PC: Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech A 2011, 21(4):295-299.
  • [20]Diamantis T, Alexandrou A, Nikiteas N, Giannopoulos A, Papalambros E: Initial experience with robotic sleeve gastrectomy for morbid obesity. Obes Surg 2011, 21(8):1172-1179.
  • [21]Edelson PK, Dumon KR, Sonnad SS, Shafi BM, Williams NN: Robotic vs. conventional laparoscopic gastric banding: a comparison of 407 cases. Surg Endosc 2011, 25(5):1402-1408.
  • [22]Park CW, Lam EC, Walsh TM, et al.: Robotic-assisted Roux-en-Y gastric bypass performed in a community hospital setting: the future of bariatric surgery? Surg Endosc 2011, 25(10):3312-3321.
  • [23]Curet MJ, Solomon H, Liu G, Morton JM: Comparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic handsewn Roux-en-Y gastric bypass. J Robot Surg 2009, 3(3):199.
  • [24]Deng JY, Lourié DJ: 100 robotic-assisted laparoscopic gastric bypasses at a community hospital. Am Surg 2008, 74(10):1022-1025.
  • [25]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.
  • [26]Sudan R, Puri V, Sudan D: Robotically assisted biliary pancreatic diversion with a duodenal switch: a new technique. Surg Endosc 2007, 21(5):729-733.
  • [27]Parini U, Fabozzi M, Contul RB, et al.: Laparoscopic gastric bypass performed with the Da Vinci Intuitive Robotic System: preliminary experience. Surg Endosc 2006, 20(12):1851-1857.
  • [28]Mohr CJ, Nadzam GS, Alami RS, et al.: Totally robotic laparoscopic Roux-en-Y gastric bypass: results from 75 patients. Obes Surg 2006, 16:690-696.
  • [29]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.
  • [30]Ali MR, Bhaskerrao B, Wolfe BM: Robot-assisted laparoscopic Roux-en-Y gastric bypass. Surg Endosc 2005, 19:468-472.
  • [31]Artuso D, Wayne M, Grossi R: Use of robotics during laparoscopic gastric bypass for morbid obesity. JSLS 2005, 9(3):266-268.
  • [32]Galvani C, Horgan S: Robots in general surgery: present and future. Cir Esp 2005, 78(3):138-147.
  • [33]Sanchez BR, Mohr CJ, Morton JM, et al.: Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2005, 1:549-554.
  • [34]Mühlmann G, Klaus A, Kirchmayr W, et al.: DaVinci robotic-assisted laparoscopic bariatric surgery: is it justified in a routine setting? Obes Surg 2003, 13(6):848-854.
  • [35]Wilson EB, Toder M, Snyder BE, Wilson TD, Kim K: Favorable early complications of robotic assisted gastric bypass from three high volume centers: 1,695 consecutive cases. San Diego, CA: Presented at the 29 th American Society for Metabolic & Bariatric Surgery Annual Meeting; 2012.
  • [36]Nguyen NT, Slone JA, Nguyen XM, Hartman JS, Hoyt DB: A prospective randomized trial of laparoscopic gastric bypass versus laparoscopic adjustable gastric banding for the treatment of morbid obesity: Outcomes, quality of life, and costs. Ann Surg 2009, 250(4):631-41.
  • [37]Garza U, Echeverria A, Galvani C: Robotic-Assisted Bariatric Surgery. In Advanced Bariatric and Metabolic Surgery. Edited by Huang CK. Shanghai: InTech; 2012:297-316.
  • [38]Podnos YD, Jimenez JC, Wilson SE, Stevens CM, Nguyen NT: Complications after laparoscopic gastric bypass: a review of 3464 cases. Arch Surg 2003, 138(9):957-961.
  • [39]Trastulli S, Desiderio J, Guarino S, et al.: Laparoscopic sleeve gastrectomy compared with other bariatric surgical procedures: a systematic review of randomized trials. Surg Obes Relat Dis 2013, 9(5):816-29.
  • [40]Kim KC, Buffington C: Totally robotic gastric bypass: approach and technique. J Robot Surg 2011, 5(1):47-50.
  • [41]Buchs NC, Pugin F, Bucher P, et al.: Learning curve for robot-assisted Roux-en-Y gastric bypass. Surg Endosc 2012, 26(4):1116-21.
  • [42]Miller N, Wilson E, Snyder B, et al.: Comparison of Laparoscopic vs. Robotic Assisted Longitudinal Sleeve Gastrectomy. San Diego, CA: Presented at the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) annual meeting; 2012.
  文献评价指标  
  下载次数:26次 浏览次数:25次