Abstract
Laparoscopic bariatric surgery is the most effective and long-term treatment for obesity. The results of robot-assisted bariatric surgery are studied using the new Senhance system in the treatment of morbidly obese patients. The optimal trocar placement and robotic arm positioning were analyzed, and the duration of the intervention and the amount of intraoperative blood loss were assessed. In the postsurgery period, we studied the number of recurrences, the number of complications, and their severity according to the Clavien-Dindo scale, as well as the severity of pain syndrome according to the VAS scale. Seventy-four patients were included in the study. According to the immediate results of surgical treatment analysis, the average duration of robot-assisted longitudinal gastric resection was 87 [67, 120] min; robot-assisted Roux bypass-116 [78, 139] min; and robot-assisted mini-bypass surgery-96 [79, 125] min. The mean time of robot-assisted revision surgeries was 141 [112, 184] min. There were no complications requiring surgical treatment, as well as complications related to the cardiovascular system or other. Robotic-assisted bariatric surgery using the Senhance system is feasible and safe for the patient. However, considerable experience is required, as well as cost-benefit analysis, to assess the feasibility of robotic systems in bariatric surgeries.
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