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Robot-assisted Roux-en-Y gastric bypass for super obese patients: a comparative study.
Obes Surg 2013; 23(3):353-7OS

Abstract

Superobese patients (SO) (body mass index (BMI) ≥ 50 kg/m(2)) represent a real surgical challenge and the best management remains debatable. While the safety of a laparoscopic approach has been questioned for this population, robotics has been introduced in the armamentarium of the bariatric surgeon, yet its role remains poorly assessed, especially for a very high BMI. The study aim is thus to report our experience with robot-assisted Roux-en-Y gastric bypass (RYGB) for SO. From July 2006 to May 2012, 288 consecutive robot-assisted RYGB procedures have been performed at a single institution. All data were collected prospectively in a dedicated database. Among those patients, 41 were SO (14.2 %). All the peri- and postoperative parameters were compared to the morbidly obese (MO) group (BMI < 50). Data have been reviewed retrospectively. The SO group presented a higher ASA score and more male patients. The operative time was similar between both groups, yet there were more conversions in the SO group (two versus one for MO; p = 0.05). The morbidity and mortality rates were similar between both groups. The length of stay was longer for the SO population (7 vs. 6 days; p = 0.03). The percent BMI loss was similar at 1 year (34 vs. 34 %; p = 1), but the percent excess BMI loss was higher for the MO group (83 vs. 65 % for the SO group; p = 0.0007). Robot-assisted RYGB can be performed safely for SO, with complication rates and functional results at 1 year comparable to MO, yet this approach for SO has been associated with a slightly increased conversion rate and length of stay.

Authors+Show Affiliations

Clinic for Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Rue Gabriel-Perret-Gentil 4, 1211, Geneva, Switzerland. Nicolas.c.buchs@hcuge.chNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Studies
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23188477

Citation

Buchs, Nicolas C., et al. "Robot-assisted Roux-en-Y Gastric Bypass for Super Obese Patients: a Comparative Study." Obesity Surgery, vol. 23, no. 3, 2013, pp. 353-7.
Buchs NC, Pugin F, Chassot G, et al. Robot-assisted Roux-en-Y gastric bypass for super obese patients: a comparative study. Obes Surg. 2013;23(3):353-7.
Buchs, N. C., Pugin, F., Chassot, G., Volonte, F., Koutny-Fong, P., Hagen, M. E., & Morel, P. (2013). Robot-assisted Roux-en-Y gastric bypass for super obese patients: a comparative study. Obesity Surgery, 23(3), pp. 353-7. doi:10.1007/s11695-012-0824-8.
Buchs NC, et al. Robot-assisted Roux-en-Y Gastric Bypass for Super Obese Patients: a Comparative Study. Obes Surg. 2013;23(3):353-7. PubMed PMID: 23188477.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Robot-assisted Roux-en-Y gastric bypass for super obese patients: a comparative study. AU - Buchs,Nicolas C, AU - Pugin,François, AU - Chassot,Gilles, AU - Volonte,Francesco, AU - Koutny-Fong,Pascale, AU - Hagen,Monika E, AU - Morel,Philippe, PY - 2012/11/29/entrez PY - 2012/11/29/pubmed PY - 2013/10/18/medline SP - 353 EP - 7 JF - Obesity surgery JO - Obes Surg VL - 23 IS - 3 N2 - Superobese patients (SO) (body mass index (BMI) ≥ 50 kg/m(2)) represent a real surgical challenge and the best management remains debatable. While the safety of a laparoscopic approach has been questioned for this population, robotics has been introduced in the armamentarium of the bariatric surgeon, yet its role remains poorly assessed, especially for a very high BMI. The study aim is thus to report our experience with robot-assisted Roux-en-Y gastric bypass (RYGB) for SO. From July 2006 to May 2012, 288 consecutive robot-assisted RYGB procedures have been performed at a single institution. All data were collected prospectively in a dedicated database. Among those patients, 41 were SO (14.2 %). All the peri- and postoperative parameters were compared to the morbidly obese (MO) group (BMI < 50). Data have been reviewed retrospectively. The SO group presented a higher ASA score and more male patients. The operative time was similar between both groups, yet there were more conversions in the SO group (two versus one for MO; p = 0.05). The morbidity and mortality rates were similar between both groups. The length of stay was longer for the SO population (7 vs. 6 days; p = 0.03). The percent BMI loss was similar at 1 year (34 vs. 34 %; p = 1), but the percent excess BMI loss was higher for the MO group (83 vs. 65 % for the SO group; p = 0.0007). Robot-assisted RYGB can be performed safely for SO, with complication rates and functional results at 1 year comparable to MO, yet this approach for SO has been associated with a slightly increased conversion rate and length of stay. SN - 1708-0428 UR - https://www.unboundmedicine.com/medline/citation/23188477/Robot_assisted_Roux_en_Y_gastric_bypass_for_super_obese_patients:_a_comparative_study_ L2 - https://dx.doi.org/10.1007/s11695-012-0824-8 DB - PRIME DP - Unbound Medicine ER -