Current status of robotic bariatric surgery: a systematic review

BMC Surgery

Research Article

Amilcare Parisi¹  Roberto Cirocchi¹  Jacopo Desiderio¹  Stefano Trastulli¹  Andrea Coratti²  Piero Covarelli³  Chiara Listorti³  Claudio Renzi³  Carlo Boselli³  Giuseppe Noya³  Salvatore Guarino⁴  Adriano Redler⁴  Alberto Santoro⁴ 

[1] Department of Digestive and Liver Surgery Unit, St Maria Hospital, Terni, Italy;Department of General Surgery, Misericordia Hospital, Grosseto, Italy;Department of General and Oncologic Surgery, University of Perugia, Perugia, Italy;Department of Surgical Sciences, “Sapienza” University of Rome, Rome, Italy;

关键词: Morbid obesity;    Bariatric surgery;    Robotic;    Roux-en-Y gastric bypass;    Robot assisted;    Gastric bypass;    Sleeve gastrectomy;    Gastric banding;    Duodenal switch;    Surgical outcomes;    Complications;    Anastomotic leak;   

DOI  :  10.1186/1471-2482-13-53

 received in 2013-06-11, accepted in 2013-11-01,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundBariatric 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.MethodsA search was performed on PubMed, Cochrane Central Register of Controlled Trials, BioMed Central, and Web of Science.ResultsTwenty-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).ConclusionsThe 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】

Unknown   
© Cirocchi et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.