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

Ramesh K. Aggarwal; Arun Prasad; Kavita Aggarwal

doi:10.18203/2349-2902.isj20233672

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.

Metrics

Metrics Loading ...

References

Kalra S, Unnikrishnan AG. Obesity in India: The weight of the nation. J Med Nutr Nutraceut. 2012;1: 37-41.

Picot J, Jones J, Colquitt J, Gospodarevskaya E, Loveman E. The clinical effectiveness and cost effectiveness of bariatric surgery in obese patients. Health Technol Assess. 2009;13(41):215-357.

Arun P. Robotic One Anastomosis (Omega/Mini) Gastric Bypass for morbid obesity. J Robot Surg. 2010;12:32-8.

Lee WJ, Ser KH, Lee YC, Tsou JJ, Chen SC, Chen JC. Laparoscopic Roux-en-Y vs. mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg. 2012;22(12):1827-34.

Kennryh T, Nathan A, Todd W, Brad S, Michelle T. Robotic assisted Roux en Y Gastric Bypass: an update from two high volume centers. Surg Obes Dis. 2011; 7:363-4.

Amjad A. A Comparison of results of Da Vinci robot assisted RNY Gastric bypass with Laparoscopic RNY Gastric Bypass procedures. Surg Obes Dis. 2009;5: S24-57.

Domene CE, Volpe P, Heitor FA. Robotic Roux-en-Y gastric bypass: operative results in 100 patients. Arq Bras Cir Dig. 2014;27(1):9-12.

Ayloo S, Buchs NC, Addeo P, Bianco FM, Giulianotti PC. Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech. 2011;21:295-9.

Diamantis T, Alexandrou A, Nikiteas N, Giannopoulos A, Papalambros E. Initial experience with robotic sleeve gastrectomy for morbid obesity. Obes Surg. 2011;21:1172-9.

Parveen B, Vivek B, Rahul S, Gonzalez-Heredia R, Sudhir K, Mukund K, Robot-Assisted Sleeve Gastrectomy in Morbidly Obese Versus Super Obese Patients. JSLS. 2014;18(3):99.

Romero RJ, Kosanovic R, Rabaza JR, Seetharamaiah R, Donkor C, Gallas M, et al. Robotic sleeve gastrectomy: Experience of 134 cases and comparison with a systematic review of the laparoscopic approach. Obes Surg. 2013;23:1743-52.

Arun P. MGB survey of India. Obes Metab Surg. 2014;23:32-9.

Kosanovic R, Romero RJ, Donkor C, Sarasua A, Rabaza JR, Gonzalez AM. A comparative retrospective study of robotic sleeve gastrectomy vs. robotic gastric bypass Int J Med Robot. 2014;32:21-9.