title: Robotic sleeve gastrectomy versus laparoscopic sleeve gastrectomy: a comparative study with 200 patients.
abstract: The da Vinci Surgical System has shown its possible indications in obesity surgery. This clinical study aims to elucidate the benefits, potentials, or problems of applying robotic technology for sleeve gastrectomy (SG). Data from 200 patients who underwent SG either performed by laparoscopy or robotic approach were assessed. A review of the data was analyzed with 1-year follow-up. There were 143 female patients. Mean age was 43.6 years. Mean BMI was 48.4 kg/m2. Operative time was longer for the robotic SG group (p < 0.005). The overall leak rate was 3.5%. Robotic SG is feasible and may be an initial procedure to undergo more complex procedures. Cost issues and operative times will need to be more clearly estimated in the future.
authors.affiliation: Endocrine, metabolic and bariatric Unit. General Surgery Department, Universitary Hospital Vall d'Hebron, Center of Excellence for the EAC-BC, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain, vilallongapuy@hotmail.com.
authors.forename: Ramon
authors.initials: R
authors.lastname: Vilallonga
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Fort
authors.forename: Enric
authors.initials: E
authors.lastname: Caubet
authors.forename: Oscar
authors.initials: O
authors.lastname: Gonzalez
authors.forename: Manel
authors.initials: M
authors.lastname: Armengol
mesh_terms: D000328:Adult; D057868:Anastomotic Leak / Q000517:prevention & control; D015992:Body Mass Index; D003362:Cost-Benefit Analysis; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000191:economics / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000191:economics; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data; D008297:Male; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery*; D011027:Pneumoperitoneum / Q000601:surgery; D012371:Robotics / Q000191:economics; D013030:Spain / Q000453:epidemiology; D016896:Treatment Outcome; D015431:Weight Loss
references.citation: Am Surg. 2008 Oct;74(10):1022-5
references.pmid: 18942636
references.citation: Obes Surg. 2010 Mar;20(3):265-70
references.pmid: 19885708
references.citation: Surg Obes Relat Dis. 2009 Jul-Aug;5(4):469-75
references.pmid: 19632646
references.citation: Obes Surg. 2012 Jan;22(1):52-61
references.pmid: 21538177
references.citation: Obes Surg. 2012 Jun;22(6):866-71
references.pmid: 22438219
references.citation: Surg Obes Relat Dis. 2005 Nov-Dec;1(6):549-54
references.pmid: 16925289
references.citation: Surg Endosc. 2012 Mar;26(3):831-7
references.pmid: 22179438
references.citation: Ann Surg. 2008 Mar;247(3):401-7
references.pmid: 18376181
references.citation: Obes Surg. 2011 Aug;21(8):1172-9
references.pmid: 20686929
references.citation: J Laparoendosc Adv Surg Tech A. 2011 May;21(4):295-9
references.pmid: 21443432
references.citation: Surg Obes Relat Dis. 2011 Nov-Dec;7(6):749-59
references.pmid: 21945699
references.citation: Arch Surg. 2005 Aug;140(8):779-86
references.pmid: 16103289
references.citation: Obes Surg. 1999 Apr;9(2):206-9
references.pmid: 10340781
references.citation: Surg Endosc. 2008 Jul;22(7):1690-6
references.pmid: 18071805
references.citation: Obes Surg. 2009 Feb;19(2):166-172
references.pmid: 18795383
references.citation: Surg Endosc. 2011 Feb;25(2):597-603
references.pmid: 20625770
references.citation: Am J Surg. 2004 Oct;188(4A Suppl):38S-44S
references.pmid: 15476650
references.citation: Obes Surg. 2003 Dec;13(6):848-54
references.pmid: 14738668
references.citation: Minim Invasive Surg. 2012;2012:347131
references.pmid: 23029610
references.citation: Minerva Gastroenterol Dietol. 2012 Sep;58(3):181-90
references.pmid: 22971629
references.citation: Can J Surg. 2010 Apr;53(2):126-32
references.pmid: 20334745
references.citation: Surg Endosc. 2003 Feb;17(2):212-5
references.pmid: 12457218
references.citation: Surg Endosc. 2003 Mar;17(3):405-8
references.pmid: 12399853
references.citation: J Laparoendosc Adv Surg Tech A. 2003 Aug;13(4):279-83
references.pmid: 14561257
references.citation: World J Surg. 2011 Mar;35(3):637-42
references.pmid: 21190108
references.citation: Surg Obes Relat Dis. 2012 Jan-Feb;8(1):8-19
references.pmid: 22248433
references.citation: Obes Surg. 2009 Jun;19(6):684-7
references.pmid: 18923879