Vivek Bindal1, Raquel Gonzalez-Heredia, Mario Masrur, Enrique F Elli. 1. Division of General, Minimally Invasive & Robotic Surgery, University of Illinois at Chicago, 840 S Wood St, Suite 435E, M/C 958, Chicago, IL, 60612, USA, bindal.vivek@gmail.com.
Abstract
BACKGROUND: We evaluate our 5-year experience, evolution of technique, and clinical outcomes with robot-assisted RYGB. METHODS: Two hundred consecutive patients who underwent robot-assisted RYGB at our center were included. Among them, 118 patients underwent a hybrid robot-assisted laparoscopic RYGB (LRRYGB), and 82 patients underwent a totally robotic RYGB (TRRYGB). Patient demographics, clinical characteristics, comorbidities, operative parameters, conversions, morbidity, mortality, and excess weight loss were analyzed. RESULTS: Most of the patients (88 %) were female with a mean age of 41.9 years and mean BMI of 46.6 kg/m(2). The outcomes of patients who underwent LRRYGB (n = 118) were compared to those who underwent TRRYGB (n = 82). The mean operative time in TRRYGB group was 170.9 ± 51.4 min which was significantly lower than LRRYGB group (216 ± 54.1 min). The mean operative time for the last 100 patients was significantly lower than that for the first 100 patients. The excess weight loss (EWL) was 58.3 % at 6 months, 67.7 % at 1 year, 71.6 % at 2 years, and 65 % at 3 years. There were three conversions to open, three reoperations and four readmissions. There were no anastomotic leak, major bleed, gastrojejunostomy stricture, or mortality seen in our series. CONCLUSIONS: Use of robot assistance to perform RYGB is safe and may reduce the associated complications, namely, anastomotic leak, gastrojejunostomy (GJ) stricture, and hemorrhage. Excess weight loss at 2 years after RRYGB is comparable to laparoscopic RYGB.
BACKGROUND: We evaluate our 5-year experience, evolution of technique, and clinical outcomes with robot-assisted RYGB. METHODS: Two hundred consecutive patients who underwent robot-assisted RYGB at our center were included. Among them, 118 patients underwent a hybrid robot-assisted laparoscopic RYGB (LRRYGB), and 82 patients underwent a totally robotic RYGB (TRRYGB). Patient demographics, clinical characteristics, comorbidities, operative parameters, conversions, morbidity, mortality, and excess weight loss were analyzed. RESULTS: Most of the patients (88 %) were female with a mean age of 41.9 years and mean BMI of 46.6 kg/m(2). The outcomes of patients who underwent LRRYGB (n = 118) were compared to those who underwent TRRYGB (n = 82). The mean operative time in TRRYGB group was 170.9 ± 51.4 min which was significantly lower than LRRYGB group (216 ± 54.1 min). The mean operative time for the last 100 patients was significantly lower than that for the first 100 patients. The excess weight loss (EWL) was 58.3 % at 6 months, 67.7 % at 1 year, 71.6 % at 2 years, and 65 % at 3 years. There were three conversions to open, three reoperations and four readmissions. There were no anastomotic leak, major bleed, gastrojejunostomy stricture, or mortality seen in our series. CONCLUSIONS: Use of robot assistance to perform RYGB is safe and may reduce the associated complications, namely, anastomotic leak, gastrojejunostomy (GJ) stricture, and hemorrhage. Excess weight loss at 2 years after RRYGB is comparable to laparoscopic RYGB.
Authors: Lars Sjöström; Anna-Karin Lindroos; Markku Peltonen; Jarl Torgerson; Claude Bouchard; Björn Carlsson; Sven Dahlgren; Bo Larsson; Kristina Narbro; Carl David Sjöström; Marianne Sullivan; Hans Wedel Journal: N Engl J Med Date: 2004-12-23 Impact factor: 91.245
Authors: Nicolas C Buchs; François Pugin; Pascal Bucher; Monika E Hagen; Gilles Chassot; Pascale Koutny-Fong; Philippe Morel Journal: Surg Endosc Date: 2011-11-02 Impact factor: 4.584
Authors: Mario Masrur; Roberto Bustos; Lisa Sanchez-Johnsen; Luis Gonzalez-Ciccarelli; Alberto Mangano; Raquel Gonzalez-Heredia; Ronak Patel; Kirstie K Danielson; Antonio Gangemi; Enrique Fernando Elli Journal: Obes Surg Date: 2020-03 Impact factor: 4.129