TY - JOUR
T1 - Robotic and laparoscopic Roux-en-Y gastric bypass after learning curve
T2 - 30-day and 12-month outcomes
AU - Roriz-Silva, Renato
AU - Vilallonga, Ramon
AU - Fort, Jose Manuel
AU - Khoraki, Jad
AU - de Gordejuela, Amador Garcia Ruiz
AU - Gonzalez, Oscar
AU - Caubet, Enric
AU - Rodríguez-Luna, María Rita
AU - Armengol, Manel
N1 - © 2022. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.
PY - 2022/2/26
Y1 - 2022/2/26
N2 - This study compares laparoscopic RYGB (L-RYGB) and robotic RYGB (R-RYGB) performed by the same team after the learning curve in both approaches. A retrospective cohort study was done, and the surgical outcome was analyzed in 30 days and 12 months for patients with similar characteristics and an equal number of cases in each group (233 cases). Four hundred and sixty-six patients were included in this study. Mean age was 46.8 ± 8.3 years and 2/3 were women. R-RYGB presented a longer operative time (150.7 versus 135.4 min; p < 0.001) with no differences in the length of hospital stay. The main 30-day complications were G-J stricture, leakage, and intraluminal bleeding. The reoperation rate was 1.6% by leakage (G-J anastomosis) and was higher in R-RYGB (2.1 versus 0.4; p = 0.108). The multivariate analysis identified that L-RYGB was the factor independently associated with a LOS longer than 2 days (odds ratio: 4.7, 95% CI: 2.6–8.2, p value < 0.001). At the FU time (12 months), no differences between the groups were found. The outcomes between the groups after the learning curve did not present differences in terms of 30 days and 12 months of FU when same preoperative characteristics and an equal number of cases in each group are considered. L-RYGB was the unique independent factor associated with long LOS.
AB - This study compares laparoscopic RYGB (L-RYGB) and robotic RYGB (R-RYGB) performed by the same team after the learning curve in both approaches. A retrospective cohort study was done, and the surgical outcome was analyzed in 30 days and 12 months for patients with similar characteristics and an equal number of cases in each group (233 cases). Four hundred and sixty-six patients were included in this study. Mean age was 46.8 ± 8.3 years and 2/3 were women. R-RYGB presented a longer operative time (150.7 versus 135.4 min; p < 0.001) with no differences in the length of hospital stay. The main 30-day complications were G-J stricture, leakage, and intraluminal bleeding. The reoperation rate was 1.6% by leakage (G-J anastomosis) and was higher in R-RYGB (2.1 versus 0.4; p = 0.108). The multivariate analysis identified that L-RYGB was the factor independently associated with a LOS longer than 2 days (odds ratio: 4.7, 95% CI: 2.6–8.2, p value < 0.001). At the FU time (12 months), no differences between the groups were found. The outcomes between the groups after the learning curve did not present differences in terms of 30 days and 12 months of FU when same preoperative characteristics and an equal number of cases in each group are considered. L-RYGB was the unique independent factor associated with long LOS.
KW - Bariatric surgery
KW - Laparoscopic gastric bypass
KW - Robotic gastric bypass
UR - http://www.scopus.com/inward/record.url?scp=85125225644&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/248a9031-fb84-3be8-974f-72cd0921237c/
U2 - 10.1007/s11701-022-01384-y
DO - 10.1007/s11701-022-01384-y
M3 - Article
C2 - 35218480
AN - SCOPUS:85125225644
SN - 1863-2483
VL - 16
SP - 1257
EP - 1263
JO - Journal of Robotic Surgery
JF - Journal of Robotic Surgery
IS - 6
ER -