Abstract
BackgroundBariatric surgery is an effective treatment to obtain weight loss in severely obese patients. The feasibility and safety of bariatric robotic surgery is the topic of this review.MethodsA search was performed on PubMed, Cochrane Central Register of Controlled Trials, BioMed Central, and Web of Science.ResultsTwenty-two studies were included. Anastomotic leak rate was 8.51% in biliopancreatic diversion. 30-day reoperation rate was 1.14% in Roux-en-Y gastric bypass and 1.16% in sleeve gastrectomy. Major complication rate in Roux-en-Y gastric bypass resulted higher than in sleeve gastrectomy ( 4,26% vs. 1,2%). The mean hospital stay was longer in Roux-en-Y gastric bypass (range 2.6-7.4 days).ConclusionsThe major limitation of our analysis is due to the small number and the low quality of the studies, the small sample size, heterogeneity of the enrolled patients and the lack of data from metabolic and bariatric outcomes. Despite the use of the robot, the majority of these cases are completed with stapled anastomosis. The assumption that robotic surgery is superior in complex cases is not supported by the available present evidence. The major strength of the robotic surgery is strongly facilitating some of the surgical steps (gastro-jejunostomy and jejunojejunostomy anastomosis in the robotic Roux-en-Y gastric bypass or the vertical gastric resection in the robotic sleeve gastrectomy).
Highlights
Bariatric surgery is an effective treatment to obtain weight loss in severely obese patients
Hagen et al demonstrated that Robotic Roux-en-Y gastric bypass (RYGB) (RRYGB) reduced cost of surgery by avoiding the anastomosis-related complications [7]; this was in contrast with the results presented by Scozzari et al [8]
In their study they concluded that RRYGBP does not associate with significant shorter hospital stay and fewer complications compared to the traditional laparoscopic procedure [7,8]
Summary
Bariatric surgery is an effective treatment to obtain weight loss in severely obese patients. Hagen et al demonstrated that RRYGB reduced cost of surgery by avoiding the anastomosis-related complications [7]; this was in contrast with the results presented by Scozzari et al [8] In their study they concluded that RRYGBP does not associate with significant shorter hospital stay and fewer complications compared to the traditional laparoscopic procedure [7,8]. A number of studies were published on this subject, for this reason, despite three systematic review were already published [9,10,11], a new systematic one was needed in order to evaluate the present state of the literature on robotic bariatric surgery
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
