Robotic versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity: a Systematic Review and Meta-analysis.
We aim to review the available literature on obese patients treated with robotic or laparoscopic sleeve gastrectomy, in order to compare the clinical outcomes and intraoperative parameters of the two methods. A systematic literature search was performed in PubMed, Cochrane Library and EBSCOhost databases, in accordance with the PRISMA guidelines. Sixteen studies met the inclusion criteria incorporating 29,787 patients. Robotic sleeve gastrectomy (RSG) technique showed significantly higher mean operative time and increased length of hospital stay. Post-operative incidence of leakage, wound infection and bleeding, along with weight reduction, were comparable. The majority of the studies assessing charges found increased cost in RSG population. Well-designed, randomized controlled studies, comparing RSG to laparoscopic sleeve gastrectomy (LSG), are necessary to assess further their clinical outcomes and cost-effectiveness.
Faculty of Medicine, University of Thessaly, Viopolis, 411 10, Larissa, Greece. magoulio@med.uth.gr.
Dimitrios E
DE
Magouliotis
Faculty of Medicine, University of Thessaly, Viopolis, 411 10, Larissa, Greece.
Vasiliki S
VS
Tasiopoulou
Department of Surgery, University Hospital of Larissa, Viopolis, 411 10, Larissa, Greece.
Eleni
E
Sioka
Department of Surgery, University Hospital of Larissa, Viopolis, 411 10, Larissa, Greece.
Dimitrios
D
Zacharoulis
D003362:Cost-Benefit Analysis; D005743:Gastrectomy / Q000191:economics / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000191:economics / Q000379:methods*; D007902:Length of Stay; D009767:Obesity, Morbid / Q000191:economics / Q000601:surgery*; D061646:Operative Time; D011184:Postoperative Period; D065287:Robotic Surgical Procedures / Q000191:economics / Q000379:methods*; D016896:Treatment Outcome; D015431:Weight Loss
Laparoscopic; Obesity; Robotic; Sleeve gastrectomy