Robot-Assisted Versus Laparoscopic Gastric Bypass: Comparison of Short-Term Outcomes
Background Roux-en-Y gastric bypass is an effective treatment for severe obesity and obesity-related comorbidities. Presently, gastric bypass is performed most often laparoscopically, although a robotic-assisted procedure is the preferred approach for an increasing number of bariatric surgeons. Meth...
Gespeichert in:
| Veröffentlicht in: | Obesity surgery 2013-04, Vol.23 (4), p.467-473 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 473 |
|---|---|
| container_issue | 4 |
| container_start_page | 467 |
| container_title | Obesity surgery |
| container_volume | 23 |
| creator | Myers, Stephan R. McGuirl, John Wang, Jillian |
| description | Background
Roux-en-Y gastric bypass is an effective treatment for severe obesity and obesity-related comorbidities. Presently, gastric bypass is performed most often laparoscopically, although a robotic-assisted procedure is the preferred approach for an increasing number of bariatric surgeons.
Methods
This retrospective study compared the results of 100 Roux-en-Y gastric bypass operations using the da Vinci robot and 100 laparoscopic Roux-en-Y gastric bypasses performed laparoscopically. Short-term outcomes were determined by evaluating mortality, length of stay, length of operation, return to the operating room within 90 days of operation, conversions to open procedure, leaks, strictures, transfusions, and hospital readmissions.
Results
There was no mortality, pulmonary embolus, or conversion to open procedure in either group. Both the laparoscopic and robotic operative times decreased progressively, although the robotic operation time was longer (mean, 144 versus 87 min,
P
|
| doi_str_mv | 10.1007/s11695-012-0848-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1317835089</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1317835089</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-c3c776aaec5562f138ed26b7598b0b907d884b8a077ad4c62afbb120ddbc87a43</originalsourceid><addsrcrecordid>eNp1kEFL5TAQx4Mo-lb9AF6k4MVLdSZpm3Rv-nBd4YGgT68hSVOtvL50M-3Bb2_cp7IseMkE5jf_SX6MHSGcIYA8J8SqLnNAnoMqVA5bbIYS0qXgapvNoK4gVzUXe-wH0QsAx4rzXbbHhUBVF8WMLe-CDWN-QdTR6Jvs0UeaKFuYwcRALgydy64NjTHVy9fBEP3M5qFP3Y7COgttdv8c4pgvfeyz22l0ofd0wHZasyJ_-FH32cOvq-X8d764vb6ZXyxyJyQf0-mkrIzxriwr3qJQvuGVlWWtLNgaZKNUYZUBKU1TuIqb1lrk0DTWKWkKsc9ON7lDDH8mT6PuO3J-tTJrHybSKFAqUYKqE3ryH_oSprhOr_tLISAITBRuKJc-T9G3eohdb-KrRtDvyvVGuU7K9btyDWnm-CN5sr1vviY-HSeAbwBKrfWTj_-s_jb1DZZ3i38</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1317101031</pqid></control><display><type>article</type><title>Robot-Assisted Versus Laparoscopic Gastric Bypass: Comparison of Short-Term Outcomes</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Myers, Stephan R. ; McGuirl, John ; Wang, Jillian</creator><creatorcontrib>Myers, Stephan R. ; McGuirl, John ; Wang, Jillian</creatorcontrib><description>Background
Roux-en-Y gastric bypass is an effective treatment for severe obesity and obesity-related comorbidities. Presently, gastric bypass is performed most often laparoscopically, although a robotic-assisted procedure is the preferred approach for an increasing number of bariatric surgeons.
Methods
This retrospective study compared the results of 100 Roux-en-Y gastric bypass operations using the da Vinci robot and 100 laparoscopic Roux-en-Y gastric bypasses performed laparoscopically. Short-term outcomes were determined by evaluating mortality, length of stay, length of operation, return to the operating room within 90 days of operation, conversions to open procedure, leaks, strictures, transfusions, and hospital readmissions.
Results
There was no mortality, pulmonary embolus, or conversion to open procedure in either group. Both the laparoscopic and robotic operative times decreased progressively, although the robotic operation time was longer (mean, 144 versus 87 min,
P
< 0.001). The length of stay was shorter for the robotic-assisted group (37 versus 52 h,
P
< 0.001), and 60 % of these patients were discharged after one night’s stay (
P
< 0.001). There were fewer transfusions (
P
= 0.005) and readmissions (
P
= .560) in the robotic group. The stricture rate was higher in the first 50 robotic procedures (17 mm gastrotomy) but resolved in the second 50 procedures (21 mm gastrotomy). There was no difference in the rate of leak and return to the operating room between groups (both
P
> 0.05).
Conclusions
These results indicate that Roux-en-Y gastric bypass can be performed safely with robotic assistance, even during the first 100 cases.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-012-0848-0</identifier><identifier>PMID: 23318944</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Body Mass Index ; Comorbidity ; Female ; Gastric Bypass - instrumentation ; Gastric Bypass - methods ; Gastrointestinal surgery ; Humans ; Laparoscopy - methods ; Length of Stay - statistics & numerical data ; Male ; Medicine ; Medicine & Public Health ; Obesity ; Obesity, Morbid - epidemiology ; Obesity, Morbid - surgery ; Ohio - epidemiology ; Original Contributions ; Postoperative Complications - epidemiology ; Postoperative Complications - surgery ; Retrospective Studies ; Robotics ; Robotics - methods ; Surgery ; Surgical techniques ; Survival Analysis ; Treatment Outcome ; Weight Loss</subject><ispartof>Obesity surgery, 2013-04, Vol.23 (4), p.467-473</ispartof><rights>Springer Science+Business Media New York 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-c3c776aaec5562f138ed26b7598b0b907d884b8a077ad4c62afbb120ddbc87a43</citedby><cites>FETCH-LOGICAL-c372t-c3c776aaec5562f138ed26b7598b0b907d884b8a077ad4c62afbb120ddbc87a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-012-0848-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-012-0848-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27913,27914,41477,42546,51308</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23318944$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Myers, Stephan R.</creatorcontrib><creatorcontrib>McGuirl, John</creatorcontrib><creatorcontrib>Wang, Jillian</creatorcontrib><title>Robot-Assisted Versus Laparoscopic Gastric Bypass: Comparison of Short-Term Outcomes</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Roux-en-Y gastric bypass is an effective treatment for severe obesity and obesity-related comorbidities. Presently, gastric bypass is performed most often laparoscopically, although a robotic-assisted procedure is the preferred approach for an increasing number of bariatric surgeons.
Methods
This retrospective study compared the results of 100 Roux-en-Y gastric bypass operations using the da Vinci robot and 100 laparoscopic Roux-en-Y gastric bypasses performed laparoscopically. Short-term outcomes were determined by evaluating mortality, length of stay, length of operation, return to the operating room within 90 days of operation, conversions to open procedure, leaks, strictures, transfusions, and hospital readmissions.
Results
There was no mortality, pulmonary embolus, or conversion to open procedure in either group. Both the laparoscopic and robotic operative times decreased progressively, although the robotic operation time was longer (mean, 144 versus 87 min,
P
< 0.001). The length of stay was shorter for the robotic-assisted group (37 versus 52 h,
P
< 0.001), and 60 % of these patients were discharged after one night’s stay (
P
< 0.001). There were fewer transfusions (
P
= 0.005) and readmissions (
P
= .560) in the robotic group. The stricture rate was higher in the first 50 robotic procedures (17 mm gastrotomy) but resolved in the second 50 procedures (21 mm gastrotomy). There was no difference in the rate of leak and return to the operating room between groups (both
P
> 0.05).
Conclusions
These results indicate that Roux-en-Y gastric bypass can be performed safely with robotic assistance, even during the first 100 cases.</description><subject>Body Mass Index</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Gastric Bypass - instrumentation</subject><subject>Gastric Bypass - methods</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Obesity, Morbid - epidemiology</subject><subject>Obesity, Morbid - surgery</subject><subject>Ohio - epidemiology</subject><subject>Original Contributions</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - surgery</subject><subject>Retrospective Studies</subject><subject>Robotics</subject><subject>Robotics - methods</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kEFL5TAQx4Mo-lb9AF6k4MVLdSZpm3Rv-nBd4YGgT68hSVOtvL50M-3Bb2_cp7IseMkE5jf_SX6MHSGcIYA8J8SqLnNAnoMqVA5bbIYS0qXgapvNoK4gVzUXe-wH0QsAx4rzXbbHhUBVF8WMLe-CDWN-QdTR6Jvs0UeaKFuYwcRALgydy64NjTHVy9fBEP3M5qFP3Y7COgttdv8c4pgvfeyz22l0ofd0wHZasyJ_-FH32cOvq-X8d764vb6ZXyxyJyQf0-mkrIzxriwr3qJQvuGVlWWtLNgaZKNUYZUBKU1TuIqb1lrk0DTWKWkKsc9ON7lDDH8mT6PuO3J-tTJrHybSKFAqUYKqE3ryH_oSprhOr_tLISAITBRuKJc-T9G3eohdb-KrRtDvyvVGuU7K9btyDWnm-CN5sr1vviY-HSeAbwBKrfWTj_-s_jb1DZZ3i38</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Myers, Stephan R.</creator><creator>McGuirl, John</creator><creator>Wang, Jillian</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20130401</creationdate><title>Robot-Assisted Versus Laparoscopic Gastric Bypass: Comparison of Short-Term Outcomes</title><author>Myers, Stephan R. ; McGuirl, John ; Wang, Jillian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-c3c776aaec5562f138ed26b7598b0b907d884b8a077ad4c62afbb120ddbc87a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Body Mass Index</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Gastric Bypass - instrumentation</topic><topic>Gastric Bypass - methods</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Obesity, Morbid - epidemiology</topic><topic>Obesity, Morbid - surgery</topic><topic>Ohio - epidemiology</topic><topic>Original Contributions</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - surgery</topic><topic>Retrospective Studies</topic><topic>Robotics</topic><topic>Robotics - methods</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Myers, Stephan R.</creatorcontrib><creatorcontrib>McGuirl, John</creatorcontrib><creatorcontrib>Wang, Jillian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Myers, Stephan R.</au><au>McGuirl, John</au><au>Wang, Jillian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robot-Assisted Versus Laparoscopic Gastric Bypass: Comparison of Short-Term Outcomes</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>23</volume><issue>4</issue><spage>467</spage><epage>473</epage><pages>467-473</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Roux-en-Y gastric bypass is an effective treatment for severe obesity and obesity-related comorbidities. Presently, gastric bypass is performed most often laparoscopically, although a robotic-assisted procedure is the preferred approach for an increasing number of bariatric surgeons.
Methods
This retrospective study compared the results of 100 Roux-en-Y gastric bypass operations using the da Vinci robot and 100 laparoscopic Roux-en-Y gastric bypasses performed laparoscopically. Short-term outcomes were determined by evaluating mortality, length of stay, length of operation, return to the operating room within 90 days of operation, conversions to open procedure, leaks, strictures, transfusions, and hospital readmissions.
Results
There was no mortality, pulmonary embolus, or conversion to open procedure in either group. Both the laparoscopic and robotic operative times decreased progressively, although the robotic operation time was longer (mean, 144 versus 87 min,
P
< 0.001). The length of stay was shorter for the robotic-assisted group (37 versus 52 h,
P
< 0.001), and 60 % of these patients were discharged after one night’s stay (
P
< 0.001). There were fewer transfusions (
P
= 0.005) and readmissions (
P
= .560) in the robotic group. The stricture rate was higher in the first 50 robotic procedures (17 mm gastrotomy) but resolved in the second 50 procedures (21 mm gastrotomy). There was no difference in the rate of leak and return to the operating room between groups (both
P
> 0.05).
Conclusions
These results indicate that Roux-en-Y gastric bypass can be performed safely with robotic assistance, even during the first 100 cases.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>23318944</pmid><doi>10.1007/s11695-012-0848-0</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2013-04, Vol.23 (4), p.467-473 |
| issn | 0960-8923 1708-0428 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1317835089 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Body Mass Index Comorbidity Female Gastric Bypass - instrumentation Gastric Bypass - methods Gastrointestinal surgery Humans Laparoscopy - methods Length of Stay - statistics & numerical data Male Medicine Medicine & Public Health Obesity Obesity, Morbid - epidemiology Obesity, Morbid - surgery Ohio - epidemiology Original Contributions Postoperative Complications - epidemiology Postoperative Complications - surgery Retrospective Studies Robotics Robotics - methods Surgery Surgical techniques Survival Analysis Treatment Outcome Weight Loss |
| title | Robot-Assisted Versus Laparoscopic Gastric Bypass: Comparison of Short-Term Outcomes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T08%3A03%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Robot-Assisted%20Versus%20Laparoscopic%20Gastric%20Bypass:%20Comparison%20of%20Short-Term%20Outcomes&rft.jtitle=Obesity%20surgery&rft.au=Myers,%20Stephan%20R.&rft.date=2013-04-01&rft.volume=23&rft.issue=4&rft.spage=467&rft.epage=473&rft.pages=467-473&rft.issn=0960-8923&rft.eissn=1708-0428&rft_id=info:doi/10.1007/s11695-012-0848-0&rft_dat=%3Cproquest_cross%3E1317835089%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1317101031&rft_id=info:pmid/23318944&rfr_iscdi=true |