Robotic vs. laparoscopic Roux-en-Y gastric bypass in morbidly obese patients: systematic review and pooled analysis

✍ Scribed by S. R. Markar; A. P. Karthikesalingam; V. Venkat-Ramen; J. Kinross; P. Ziprin

• Publisher: Wiley (Robotic Publications)
• Year: 2011
• Tongue: English
• Weight: 336 KB
• Volume: 7
• Category: Article
• ISSN: 1478-5951
• DOI: 10.1002/rcs.414

✦ Synopsis

Abstract

Background

The aim of this study was to provide pooled analysis of individually small trials comparing robotic Roux‐en‐Y gastric bypass (RRYGB) with standard laparoscopic RYGB (LRYGB).

Methods

A systematic literature search of Medline, Embase and Cochrane Library databases was performed. Primary outcome measures were the incidence of anastomotic leak and stricture. Secondary outcome measures were post‐operative complications, operative time and length of hospital stay.

Results

Seven relevant studies of 1686 patients were included in this analysis. There was a significantly reduced incidence of anastomotic stricture in the robotic group (POR = 0.43; 95% CI = 0.19 to 0.98; p = 0.04). There was no significant difference between robotic and laparoscopic groups for anastomotic leak, post‐operative complications, operative time and length of hospital stay.

Conclusion

The incidence of anastomotic stricture was reduced with RRYGB compared with LRYGB over a minimum follow‐up period of 6 months, thus demonstrating the potential benefit of RRYGB. Copyright © 2011 John Wiley & Sons, Ltd.