The University of Texas Medical School at Houston, 6431 Fannin Street, Suite 4.294, Houston, TX, 77030, USA.
J Robot Surg. 2008 Sep;2(3):159-63. doi: 10.1007/s11701-008-0104-8. Epub 2008 Sep 2.
Robotic-assisted surgery has been described for many general surgery procedures, including gastric bypass. This is a comparative study looking at the short-term outcomes and technical differences between laparoscopic Roux-en-Y gastric bypass (LRNY) and robotic-assisted Roux-en-Y gastric bypass (RARNY). Our database was reviewed for all Roux-en-Y gastric bypass procedures performed over the last 5 years. Operative times, length of stay, and all complications listed for the 90 days postoperatively were recorded and statistically analyzed. A total of 356 LRNY and 249 RARNY were performed. The average body mass index (BMI), age, and sex were similar between groups. On average, the RARNY took 17 min longer than the LRNY, this difference being significant (p < 0.01). Average length of stay for the two groups was similar (~3 days). There were a total of 51 complications in the standard laparoscopic group (14%), of which 14 (3.9%) were major complications. In the robotic group, there were 35 (14%) complications, of which 9 (3.6%) were major complications. The only significant difference in complication rate was for anastomotic leak at the gastrojejunostomy: there were no leaks in the robotic series, and six (1.7%) in the standard laparoscopic series (p = 0.04). Length of stay and overall complication rates were similar for RARNY and LRNY. There was no mortality in either group, and the complication rate was lower than literature standards. While the RARNY took longer, there was a significantly lower gastrointestinal leak rate in this group.
机器人辅助手术已被用于许多普通外科手术，包括胃旁路术。这是一项比较研究，旨在观察腹腔镜 Roux-en-Y 胃旁路术（LRNY）和机器人辅助 Roux-en-Y 胃旁路术（RARNY）的短期结果和技术差异。我们对过去 5 年中进行的所有 Roux-en-Y 胃旁路手术的数据库进行了回顾。记录并统计分析了术后 90 天内的手术时间、住院时间和所有列出的并发症。共进行了 356 例 LRNY 和 249 例 RARNY。两组的平均体重指数（BMI）、年龄和性别相似。平均而言，RARNY 比 LRNY 长 17 分钟，这一差异具有统计学意义（p < 0.01）。两组的平均住院时间相似（~3 天）。标准腹腔镜组共有 51 例并发症（14%），其中 14 例（3.9%）为严重并发症。在机器人组中，共有 35 例（14%）并发症，其中 9 例（3.6%）为严重并发症。并发症发生率唯一显著差异是胃空肠吻合口漏：机器人组无漏，标准腹腔镜组有 6 例（1.7%）（p = 0.04）。RARNY 和 LRNY 的住院时间和总并发症发生率相似。两组均无死亡病例，并发症发生率低于文献标准。虽然 RARNY 时间较长，但该组的胃肠道漏率明显较低。
