Robotic Bariatric Surgery - experience from the first 79 patients.
Autores
José P. Santos, Maria J. Alves; Carolina Robalo; Isabel Mesquita, Teresa Correia; Mário Marcos, Jorge Santos, Paulo Soares.
Resumo Introdução
Bariatric surgery (BS) is the only procedure to show both short and long term impact on controlling body weight and reducing comorbidities. Nowadays laparoscopic BS is the gold standard for the treatment of morbid obesity, however the application of robotic techniques has been reported with variable results in the literature. We herein report our initial experience with robotic BS
Resumo Métodos
Clinical data retrospective analysis was perfomed, including gender, age, Body Mass Index (BMI), procedure, duration and surgical complications of patients submited to robotic bariatric surgery using the HUGO-RAS console during 18 months
Resumo Resultados
We included 79 patients and male to female ratio was 2:5. Mean age was 45.8±11.1years and mean BMI 42.3±5.3 kg/m2. The majority of surgeries were Roux-en-Y Gastric Bypass (RYBG) (n=48, 60,8%), followed by Gastric Sleeve (GS) (n=13, 16,5%) and One Anastomosis Gastric Bypass (OAGB) (n=4, 5%). There were 9 combined procedures (eg. hiatoplasty in GS). Procedure duration was 115±51,5min for RYGB, 83.5±24min for GS and 86.7±22.7min in OAGB. Comparing the first and last 15 RYGB, median operative time decreased from 154,53±73.5 to 91 ±41min. There were no conversions and there were 7 surgical re-interventions due to early post-operative complications
Resumo Discussão
Robotic BS is a feasible and safe surgical technique for the treatment of obesity. Although surgery duration is longer in robotic than in laparoscopic BS, there was significant improvement in timing throughout our series