A comparative study between robotic sleeve gastrectomy and robotic mini gastric bypass: which one is better?

Authors

  • Ramesh K. Aggarwal Department of General and Minimal Access Surgery, Indraprastha Apollo Hospitals, Delhi, India; Department of General Surgery, Adesh Medical College & Hospital, Shahabad, Haryana, India
  • Arun Prasad Department of General and Minimal Access Surgery, Indraprastha Apollo Hospitals, Delhi, India
  • Kavita Aggarwal Department of Community Medicine, Adesh Medical College & Hospital, Shahabad, Haryana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20233672

Keywords:

Robotic one anastomosis gastric bypass, Robotic sleeve gastrectomy, Bariatric surgery

Abstract

Background: Bariatric surgery now days is a commonly done procedure for morbid obese or super obese patients. With the development of less invasive procedures like laparoscopy & robotic surgery, the use of bariatric surgery is becoming more common. The present study was conducted with an idea to compare the post operative outcomes in 2 groups (robotic sleeve gastrectomy & robotic mini gastric bypass) in terms of various parameters such as operative time, post-op. pain, length of hospital stay.

Methods: Present study has been conducted on 35 patients, divided into two groups, based on two commonly performed procedures, Group one-21 patients (Robotic one anastomosis gastric bypass/Mini gastric bypass) and group two-14 patients (Robotic Sleeve Gastrectomy). All the cases in both groups were selected according to the patient’s BMI, associated symptoms and patient’s own preference for the procedure; both groups were followed for a period of 6 months.

Results: On analysis, group 2 patients had a shorter operating time (p<0.01) and shorter hospital stay (P value<0.05) with almost similar results in term of weight loss after 6 months. Only one patient in group 1 had significant post operative complication in term of pulmonary embolism that was successfully managed conservatively

Conclusions: Group 2 had a significantly shorter operating time & shorter hospital stay, with almost similar weight reduction after 6 months period of follow up and had no post operative complication, group 1 had one post operatively complications in term of pulmonary embolism which was managed by conservative means.

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Published

2023-11-28

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Original Research Articles