Robotic Versus Laparoscopic Bariatric Surgery: a Systematic Review and Meta-Analysis

被引：63

作者：

Li, Kun ^{[1
]}

Zou, Jianan ^{[2
]}

Tang, Jianxiong ^{[1
]}

Di, Jianzhong ^{[3
]}

Han, Xiaodong ^{[3
]}

Zhang, Pin ^{[3
]}

机构：

[1] Fudan Univ, Huadong Hosp, Dept Gen Surg, 221 West Yanan Rd, Shanghai 200040, Peoples R China

[2] Fudan Univ, Huadong Hosp, Dept Nephrol, Shanghai, Peoples R China

[3] Shanghai Jiao Tong Univ, Affiliated Peoples Hosp 6, Dept Gen Surg, Shanghai 200233, Peoples R China

来源：

OBESITY SURGERY | 2016年 / 26卷 / 12期

关键词：

Bariatric surgery; Laparoscopic; Robotic; Robotic-assisted; Y GASTRIC BYPASS; SLEEVE GASTRECTOMY EXPERIENCE; OUTCOMES; COMPLICATIONS; MORBIDITY; COSTS;

D O I：

10.1007/s11695-016-2408-5

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We aim to summarize the available literature on patients treated with robotic bariatric surgery (RBS) or laparoscopic bariatric surgery (LBS) and compare the clinical outcomes between RBS and LBS. A systematic literature was conducted in accordance with the PRISMA guidelines. Thirty-four observational studies met our inclusion criteria, and 27 studies of 27,997 patients were included in the meta-analysis. There were no significant differences between RBS and LBS regarding overall postoperative complications, major complications, the length of hospital stay, reoperation, conversion, and mortality. Nevertheless, RBS was burdened by longer operative times and higher hospital costs when compared with LBS. On the contrary, the incidence of anastomotic leak was lower in RBS than in LBS. Further studies with a longer follow-up are recommended.

引用

页码：3031 / 3044

页数：14

共 48 条

[1]

[Anonymous], J ROBOT SURG

[2]

[Anonymous], INT J MED ROBOT COMP

[3]

[Anonymous], SURG ENDOSCOPY

[4] Laparoscopic, hybrid, and totally robotic Roux-en-Y gastric bypass [J].

Ayloo S. ;

Roh Y. ;

Choudhury N. .

Journal of Robotic Surgery, 2016, 10 (1) :41-47

[5] Robot-Assisted Sleeve Gastrectomy for Super-Morbidly Obese Patients [J].

Ayloo, Subhashini ;

Buchs, Nicolas C. ;

Addeo, Pietro ;

Bianco, Francesco M. ;

Giulianotti, Pier C. .

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, 2011, 21 (04) :295-299

[6] Robot-assisted versus Laparoscopic Roux-en-Y Gastric Bypass: Is There a Difference in Outcomes? [J].

Ayloo, Subhashini M. ;

Addeo, Pietro ;

Buchs, Nicolas Christian ;

Shah, Galaxy ;

Giulianotti, Pier Cristoforo .

WORLD JOURNAL OF SURGERY, 2011, 35 (03) :637-642

[7] Robotic versus laparoscopic Roux-en-Y gastric bypass (RYGB) in obese adults ages 18 to 65 years: a systematic review and economic analysis [J].

Bailey, Jonathan G. ;

Hayden, Jill A. ;

Davis, Philip J. B. ;

Liu, Richard Y. ;

Haardt, David ;

Ellsmere, James .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2014, 28 (02) :414-426

[8] Bariatric procedures: an update on techniques, outcomes and complications [J].

Baptista, Veronica ;

Wassef, Wahid .

CURRENT OPINION IN GASTROENTEROLOGY, 2013, 29 (06) :684-693

[9] New Technology and Health Care Costs - The Case of Robot-Assisted Surgery [J].

Barbash, Gabriel I. ;

Glied, Sherry A. .

NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (08) :701-704

[10] Perioperative outcomes after totally robotic gastric bypass: a prospective nonrandomized controlled study [J].

Benizri, Emmanuel I. ;

Renaud, Myriam ;

Reibel, Nicolas ;

Germain, Adeline ;

Ziegler, Olivier ;

Zarnegar, Rasa ;

Ayav, Ahmet ;

Bresler, Laurent ;

Brunaud, Laurent .

AMERICAN JOURNAL OF SURGERY, 2013, 206 (02) :145-151

← 1 2 3 4 5 →