Skip to main content
Erschienen in: Obesity Surgery 11/2015

01.11.2015 | Review Article

Robotic vs. Laparoscopic Roux-En-Y Gastric Bypass: a Systematic Review and Meta-Analysis

verfasst von: Konstantinos P. Economopoulos, Vasileios Theocharidis, Travis J. McKenzie, Theodoros N. Sergentanis, Theodora Psaltopoulou

Erschienen in: Obesity Surgery | Ausgabe 11/2015

Einloggen, um Zugang zu erhalten

Abstract

We aim to summarize the available literature on patients treated with robotic RYGB and compare the clinical outcomes of patients treated with robotic RYGB with those treated with the standard laparoscopic RYGB. A systematic literature search of PubMed and Scopus databases was conducted in accordance with the PRISMA guidelines. Fourteen comparative and 11 non-comparative studies were included in this study, reporting data on 5145 patients. This study points to comparable clinical outcomes between robotic and laparoscopic RYGB. Robotic-assisted RYGB was associated with significantly less frequent anastomotic stricture events, reoperations, and a decreased length of hospital stay compared with the standard laparoscopic procedures; however, these findings should be interpreted with caution given the low number and poor quality of the studies currently available in the literature.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4(4):353–7.CrossRefPubMed Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4(4):353–7.CrossRefPubMed
2.
Zurück zum Zitat Carlin AM, Zeni TM, English WJ, et al. The comparative effectiveness of sleeve gastrectomy, gastric bypass, and adjustable gastric banding procedures for the treatment of morbid obesity. Ann Surg. 2013;257(5):791–7.CrossRefPubMed Carlin AM, Zeni TM, English WJ, et al. The comparative effectiveness of sleeve gastrectomy, gastric bypass, and adjustable gastric banding procedures for the treatment of morbid obesity. Ann Surg. 2013;257(5):791–7.CrossRefPubMed
3.
Zurück zum Zitat Agaba EA, Shamseddeen H, Gentles CV, et al. Laparoscopic vs open gastric bypass in the management of morbid obesity: a 7-year retrospective study of 1,364 patients from a single center. Obes Surg. 2008;18(11):1359–63.CrossRefPubMed Agaba EA, Shamseddeen H, Gentles CV, et al. Laparoscopic vs open gastric bypass in the management of morbid obesity: a 7-year retrospective study of 1,364 patients from a single center. Obes Surg. 2008;18(11):1359–63.CrossRefPubMed
4.
Zurück zum Zitat Banka G, Woodard G, Hernandez-Boussard T, et al. Laparoscopic vs open gastric bypass surgery: differences in patient demographics, safety, and outcomes. Arch Surg. 2012;147(6):550–6.CrossRefPubMed Banka G, Woodard G, Hernandez-Boussard T, et al. Laparoscopic vs open gastric bypass surgery: differences in patient demographics, safety, and outcomes. Arch Surg. 2012;147(6):550–6.CrossRefPubMed
5.
Zurück zum Zitat Keslar PJ, Buck JL, Selby DM. From the archives of the AFIP. Infantile hemangioendothelioma of the liver revisited. Radiographics. 1993;13(3):657–70.CrossRefPubMed Keslar PJ, Buck JL, Selby DM. From the archives of the AFIP. Infantile hemangioendothelioma of the liver revisited. Radiographics. 1993;13(3):657–70.CrossRefPubMed
6.
Zurück zum Zitat Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62(10):e1–34.CrossRefPubMed Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62(10):e1–34.CrossRefPubMed
7.
Zurück zum Zitat Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration. 2011 Available from www.cochrane-handbook.org Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration. 2011 Available from www.​cochrane-handbook.​org
10.
Zurück zum Zitat Ayloo SM, Addeo P, Buchs NC, et al. Robot-assisted versus laparoscopic Roux-en-Y gastric bypass: is there a difference in outcomes? World J Surg. 2011;35(3):637–42.CrossRefPubMed Ayloo SM, Addeo P, Buchs NC, et al. Robot-assisted versus laparoscopic Roux-en-Y gastric bypass: is there a difference in outcomes? World J Surg. 2011;35(3):637–42.CrossRefPubMed
11.
Zurück zum Zitat Benizri EI, Renaud M, Reibel N, et al. Perioperative outcomes after totally robotic gastric bypass: a prospective nonrandomized controlled study. Am J Surg. 2013;206(2):145–51.CrossRefPubMed Benizri EI, Renaud M, Reibel N, et al. Perioperative outcomes after totally robotic gastric bypass: a prospective nonrandomized controlled study. Am J Surg. 2013;206(2):145–51.CrossRefPubMed
12.
Zurück zum Zitat Curet MJ, Curet M, Solomon H, et al. Comparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic handsewn Roux-en-Y gastric bypass. J Robot Surg. 2009;3(2):75–8.CrossRef Curet MJ, Curet M, Solomon H, et al. Comparison of hospital charges between robotic, laparoscopic stapled, and laparoscopic handsewn Roux-en-Y gastric bypass. J Robot Surg. 2009;3(2):75–8.CrossRef
13.
Zurück zum Zitat Hagen ME, Pugin F, Chassot G, et al. Reducing cost of surgery by avoiding complications: the model of robotic Roux-en-Y gastric bypass. Obes Surg. 2012;22(1):52–61.CrossRefPubMed Hagen ME, Pugin F, Chassot G, et al. Reducing cost of surgery by avoiding complications: the model of robotic Roux-en-Y gastric bypass. Obes Surg. 2012;22(1):52–61.CrossRefPubMed
14.
Zurück zum Zitat Hubens G, Balliu L, Ruppert M, et al. Roux-en-Y gastric bypass procedure performed with the da Vinci robot system: is it worth it? Surg Endosc. 2008;22(7):1690–6.CrossRefPubMed Hubens G, Balliu L, Ruppert M, et al. Roux-en-Y gastric bypass procedure performed with the da Vinci robot system: is it worth it? Surg Endosc. 2008;22(7):1690–6.CrossRefPubMed
15.
Zurück zum Zitat Mohr CJ, Nadzam GS, Curet MJ. Totally robotic Roux-en-Y gastric bypass. Arch Surg. 2005;140(8):779–86.CrossRefPubMed Mohr CJ, Nadzam GS, Curet MJ. Totally robotic Roux-en-Y gastric bypass. Arch Surg. 2005;140(8):779–86.CrossRefPubMed
16.
Zurück zum Zitat Myers SR, McGuirl J, Wang J. Robot-assisted versus laparoscopic gastric bypass: comparison of short-term outcomes. Obes Surg. 2013;23(4):467–73.CrossRefPubMed Myers SR, McGuirl J, Wang J. Robot-assisted versus laparoscopic gastric bypass: comparison of short-term outcomes. Obes Surg. 2013;23(4):467–73.CrossRefPubMed
17.
Zurück zum Zitat Park CW, Lam EC, Walsh TM, et al. Robotic-assisted Roux-en-Y gastric bypass performed in a community hospital setting: the future of bariatric surgery? Surg Endosc. 2011;25(10):3312–21.CrossRefPubMed Park CW, Lam EC, Walsh TM, et al. Robotic-assisted Roux-en-Y gastric bypass performed in a community hospital setting: the future of bariatric surgery? Surg Endosc. 2011;25(10):3312–21.CrossRefPubMed
18.
Zurück zum Zitat Sanchez BR, Mohr CJ, Morton JM, et al. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1(6):549–54.CrossRefPubMed Sanchez BR, Mohr CJ, Morton JM, et al. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1(6):549–54.CrossRefPubMed
19.
Zurück zum Zitat Scozzari G, Rebecchi F, Millo P, et al. Robot-assisted gastrojejunal anastomosis does not improve the results of the laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2011;25(2):597–603.CrossRefPubMed Scozzari G, Rebecchi F, Millo P, et al. Robot-assisted gastrojejunal anastomosis does not improve the results of the laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2011;25(2):597–603.CrossRefPubMed
20.
Zurück zum Zitat Snyder BE, Wilson T, Leong BY, et al. Robotic-assisted Roux-en-Y Gastric bypass: minimizing morbidity and mortality. Obes Surg. 2010;20(3):265–70.CrossRefPubMed Snyder BE, Wilson T, Leong BY, et al. Robotic-assisted Roux-en-Y Gastric bypass: minimizing morbidity and mortality. Obes Surg. 2010;20(3):265–70.CrossRefPubMed
21.
Zurück zum Zitat Snyder BE, Wilson T, Scarborough T, et al. Lowering gastrointestinal leak rates: a comparative analysis of robotic and laparoscopic gastric bypass. J Robot Surg. 2008;2(3):159–63.CrossRef Snyder BE, Wilson T, Scarborough T, et al. Lowering gastrointestinal leak rates: a comparative analysis of robotic and laparoscopic gastric bypass. J Robot Surg. 2008;2(3):159–63.CrossRef
22.
Zurück zum Zitat Wood MH, Kroll JJ, Garretson B. A comparison of outcomes between the traditional laparoscopic and totally robotic Roux-en-Y gastric bypass procedures. J Robot Surg. 2013;8(1):29–34.CrossRef Wood MH, Kroll JJ, Garretson B. A comparison of outcomes between the traditional laparoscopic and totally robotic Roux-en-Y gastric bypass procedures. J Robot Surg. 2013;8(1):29–34.CrossRef
23.
Zurück zum Zitat Artuso D, Wayne M, Grossi R. Use of robotics during laparoscopic gastric bypass for morbid obesity. JSLS. 2006;9:266–8. Artuso D, Wayne M, Grossi R. Use of robotics during laparoscopic gastric bypass for morbid obesity. JSLS. 2006;9:266–8.
24.
Zurück zum Zitat Ayloo S, Fernandes E, Choudhury N. Learning curve and robot set-up/operative times in singly docked totally robotic Roux-en-Y gastric bypass. Surg Endosc. 2014;28(5):1629–33.CrossRefPubMed Ayloo S, Fernandes E, Choudhury N. Learning curve and robot set-up/operative times in singly docked totally robotic Roux-en-Y gastric bypass. Surg Endosc. 2014;28(5):1629–33.CrossRefPubMed
25.
Zurück zum Zitat Ayloo SM, Addeo P, Shah G, et al. Robot-assisted hybrid laparoscopic Roux-en-Y gastric bypass: surgical technique and early outcomes. J Laparoendosc Adv Surg Tech A. 2010;20(10):847–50.CrossRefPubMed Ayloo SM, Addeo P, Shah G, et al. Robot-assisted hybrid laparoscopic Roux-en-Y gastric bypass: surgical technique and early outcomes. J Laparoendosc Adv Surg Tech A. 2010;20(10):847–50.CrossRefPubMed
26.
Zurück zum Zitat Buchs NC, Pugin F, Bucher P, et al. Learning curve for robot-assisted Roux-en-Y gastric bypass. Surg Endosc. 2012;26(4):1116–21.CrossRefPubMed Buchs NC, Pugin F, Bucher P, et al. Learning curve for robot-assisted Roux-en-Y gastric bypass. Surg Endosc. 2012;26(4):1116–21.CrossRefPubMed
27.
Zurück zum Zitat Deng JY, Lourie DJ. 100 robotic-assisted laparoscopic gastric bypasses at a community hospital. Am Surg. 2008;74(10):1022–5.PubMed Deng JY, Lourie DJ. 100 robotic-assisted laparoscopic gastric bypasses at a community hospital. Am Surg. 2008;74(10):1022–5.PubMed
28.
Zurück zum Zitat Diamantis T, Alexandrou A, Gouzis K, et al. Early experience with totally robotic Roux-en-Y gastric bypass for morbid obesity. J Laparoendosc Adv Surg Tech A. 2010;20(10):797–801.CrossRefPubMed Diamantis T, Alexandrou A, Gouzis K, et al. Early experience with totally robotic Roux-en-Y gastric bypass for morbid obesity. J Laparoendosc Adv Surg Tech A. 2010;20(10):797–801.CrossRefPubMed
29.
Zurück zum Zitat Mohr CJ, Nadzam GS, Alami RS, et al. Totally robotic laparoscopic Roux-en-Y Gastric bypass: results from 75 patients. Obes Surg. 2006;16(6):690–6.CrossRefPubMed Mohr CJ, Nadzam GS, Alami RS, et al. Totally robotic laparoscopic Roux-en-Y Gastric bypass: results from 75 patients. Obes Surg. 2006;16(6):690–6.CrossRefPubMed
30.
Zurück zum Zitat Moser F, Horgan S. Robotically assisted bariatric surgery. Am J Surg. 2004;188(4A Suppl):38S–44S.CrossRefPubMed Moser F, Horgan S. Robotically assisted bariatric surgery. Am J Surg. 2004;188(4A Suppl):38S–44S.CrossRefPubMed
31.
Zurück zum Zitat Parini U, Fabozzi M, Contul RB, et al. Laparoscopic gastric bypass performed with the Da Vinci Intuitive Robotic System: preliminary experience. Surg Endosc. 2006;20(12):1851–7.CrossRefPubMed Parini U, Fabozzi M, Contul RB, et al. Laparoscopic gastric bypass performed with the Da Vinci Intuitive Robotic System: preliminary experience. Surg Endosc. 2006;20(12):1851–7.CrossRefPubMed
32.
Zurück zum Zitat Ramos AC, Domene CE, Volpe P, et al. Early outcomes of the first Brazilian experience in totally robotic bariatric surgery. ABCD Arq Bras Cir Dig. 2013;26(Suplemento 1):2–7.CrossRefPubMed Ramos AC, Domene CE, Volpe P, et al. Early outcomes of the first Brazilian experience in totally robotic bariatric surgery. ABCD Arq Bras Cir Dig. 2013;26(Suplemento 1):2–7.CrossRefPubMed
33.
Zurück zum Zitat Tieu K, Allison N, Snyder B, et al. Robotic-assisted Roux-en-Y gastric bypass: update from 2 high-volume centers. Surg Obes Relat Dis. 2013;9(2):284–8.CrossRefPubMed Tieu K, Allison N, Snyder B, et al. Robotic-assisted Roux-en-Y gastric bypass: update from 2 high-volume centers. Surg Obes Relat Dis. 2013;9(2):284–8.CrossRefPubMed
34.
Zurück zum Zitat Yu SC, Clapp BL, Lee MJ, et al. Robotic assistance provides excellent outcomes during the learning curve for laparoscopic Roux-en-Y gastric bypass: results from 100 robotic-assisted gastric bypasses. Am J Surg. 2006;192(6):746–9.CrossRefPubMed Yu SC, Clapp BL, Lee MJ, et al. Robotic assistance provides excellent outcomes during the learning curve for laparoscopic Roux-en-Y gastric bypass: results from 100 robotic-assisted gastric bypasses. Am J Surg. 2006;192(6):746–9.CrossRefPubMed
35.
Zurück zum Zitat Markar SR, Karthikesalingam AP, Venkat-Ramen V, et al. Robotic vs. laparoscopic Roux-en-Y gastric bypass in morbidly obese patients: systematic review and pooled analysis. Int J Med Rob. 2011;7(4):393–400.CrossRef Markar SR, Karthikesalingam AP, Venkat-Ramen V, et al. Robotic vs. laparoscopic Roux-en-Y gastric bypass in morbidly obese patients: systematic review and pooled analysis. Int J Med Rob. 2011;7(4):393–400.CrossRef
36.
Zurück zum Zitat Maeso S, Reza M, Mayol JA, et al. Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg. 2010;252(2):254–62.CrossRefPubMed Maeso S, Reza M, Mayol JA, et al. Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg. 2010;252(2):254–62.CrossRefPubMed
37.
Zurück zum Zitat Morino M, Pellegrino L, Giaccone C, et al. Randomized clinical trial of robot-assisted versus laparoscopic Nissen fundoplication. Br J Surg. 2006;93(5):553–8.CrossRefPubMed Morino M, Pellegrino L, Giaccone C, et al. Randomized clinical trial of robot-assisted versus laparoscopic Nissen fundoplication. Br J Surg. 2006;93(5):553–8.CrossRefPubMed
Metadaten
Titel
Robotic vs. Laparoscopic Roux-En-Y Gastric Bypass: a Systematic Review and Meta-Analysis
verfasst von
Konstantinos P. Economopoulos
Vasileios Theocharidis
Travis J. McKenzie
Theodoros N. Sergentanis
Theodora Psaltopoulou
Publikationsdatum
01.11.2015
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 11/2015
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1870-9

Weitere Artikel der Ausgabe 11/2015

Obesity Surgery 11/2015 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.