Perioperative outcomes after totally robotic gastric bypass: a prospective nonrandomized controlled study

被引：51

作者：

Benizri, Emmanuel I. ^{[1
,2
]}

Renaud, Myriam ^{[1
]}

Reibel, Nicolas ^{[1
]}

Germain, Adeline ^{[1
]}

Ziegler, Olivier ^{[1
,3
,4
]}

Zarnegar, Rasa ^{[5
]}

Ayav, Ahmet ^{[1
]}

Bresler, Laurent ^{[1
]}

Brunaud, Laurent ^{[1
,3
]}

机构：

[1] Ctr Hosp Univ Nancy, Multidisciplinary Unit Obes Surg UMCO, F-54511 Vandoeuvre Les Nancy, France

[2] CHU Nice, Hop Archet 2, Dept Gen Surg & Digest Cancerol, F-06000 Nice, France

[3] Univ Nancy, Fac Med, INSERM, Vandoeuvre Les Nancy, France

[4] Ctr Hosp Univ Nancy, Hop Brabois Adultes, Dept Diabetol & Clin Nutr, Vandoeuvre Les Nancy, France

[5] Weill Cornell Med Coll, Dept Surg, Div Endocrine & Minimally Invas Surg, New York, NY USA

来源：

AMERICAN JOURNAL OF SURGERY | 2013年 / 206卷 / 02期

关键词：

Gastric bypass; Robotics; Morbidity obesity; Bariatrics; BODY-MASS INDEX; LEARNING-CURVE; CONSECUTIVE PATIENTS; BARIATRIC SURGERY; OBESITY SURGERY; MORBID-OBESITY; HAND-SEWN; COMPLICATIONS; MORTALITY; RECOMMENDATIONS;

D O I：

10.1016/j.amjsurg.2012.07.049

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: Perioperative short-term outcomes could be improved after totally robotic Rouxen-Y gastric bypass (TR-RYGBP) compared with conventional laparoscopic gastric bypass. METHODS: This is a nonrandomized controlled prospective study (N = 200) to evaluate perioperative short-term outcomes. The primary endpoint was to investigate risk factors for 30-day surgical complications. RESULTS: Mean total operative time was shorter in patients who underwent TR-RYGBP (130 vs 147 minutes; P < .0001). However, postoperative surgical complications rate (13% vs 1%; P = .001), and mean overall hospital stay (9.3 vs 6.7 days; P < .0001) were higher after TR-RYGBP. By multivariate analysis, robotic surgery (hazard ratio [HR] = 15.1; 95% confidence interval [CI], 2.8 to 280; P = .01), and conversion to laparotomy (HR = 18.8; 95% CI, 1.7 to 250.8; P = .014) were independent risk factors for 30-day surgical complications. CONCLUSIONS: Although robotic gastric bypass reduces mean operative time, TR-RYGBP is associated with an increased postoperative surgical complications rate and longer hospitalization. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：145 / 151

页数：7

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