ROBOTIC VERSUS LAPAROSCOPIC ROUX-EN-Y-GASTRIC BYPASS: A RETROSPECTIVE STUDY IN A SINGLE CENTER.

Fernando de Barros, Ana Beatriz Monteiro Fonseca, Amanda Sebestjen Balogh Kiss, Camilla Ferreira Braga, Filipe Roza DA-Silva, Yumi Honda Regonati
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Abstract

Background: Bariatric surgery is the best treatment option for patients with obesity. As a result of the advancement of technology, the robotic gastric bypass presents promising results, despite its still high costs.

Aims: The aim of this study was to compare patients submitted to a robotic versus a laparoscopic gastric bypass at a single center by a single surgeon.

Methods: This retrospective study collected data from the medical records of 221 patients (121 laparoscopic procedures versus 100 with daVinci platform). The variables analyzed were sex, age, body mass index, comorbidities, surgical time, length of stay, and complications.

Results: The mean surgical time for patients in the robotic group was shorter (102.41±39.44 min versus 113.86±39.03 min, p=0.018). The length of hospital stay in robotic patients was shorter (34.12±20.59 h versus 34.93±11.74 h, p=0.007). There were no serious complications.

Conclusions: The group submitted to the robotic method had a shorter surgical time and a shorter hospital stay. No difference was found regarding strictures, bleeding, or leakage.

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机器人与腹腔镜ROUX-EN-Y-胃旁路术:一项单一中心的回顾性研究。
背景:减肥手术是治疗肥胖患者的最佳选择。由于技术的进步,尽管成本仍然很高,但机器人胃旁路术仍取得了有希望的结果。目的:本研究的目的是比较由一名外科医生在一个中心接受机器人胃旁路手术和腹腔镜胃旁路手术的患者。方法:这项回顾性研究收集了221名患者的医疗记录数据(121例腹腔镜手术,100例使用达芬奇平台)。分析的变量包括性别、年龄、体重指数、合并症、手术时间、住院时间和并发症。结果:机器人组患者的平均手术时间更短(102.41±39.44分钟对113.86±39.03分钟,p=0.018)。机器人患者的住院时间更短(34.12±20.59小时对34.93±11.74小时,p=0.007)。没有严重并发症。结论:采用机器人方法的组手术时间更短,住院时间更短。在狭窄、出血或渗漏方面没有发现差异。
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