Universidade Federal Fluminense, Department of General and Specialized Surgery - Niterói (RJ), Brazil.
DASA, Robotic Surgery - Rio de Janeiro (RJ), Brazil.
Arq Bras Cir Dig. 2023 Sep 15;36:e1756. doi: 10.1590/0102-672020230038e1756. eCollection 2023.
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.
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.
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.
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.
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.
减重手术是肥胖患者的最佳治疗选择。由于技术的进步，机器人胃旁路手术带来了有希望的结果，尽管其成本仍然很高。
本研究旨在比较由同一位外科医生在单中心接受机器人与腹腔镜胃旁路手术的患者。
这项回顾性研究从 221 名患者的病历中收集数据（121 例腹腔镜手术与 100 例达芬奇平台手术）。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。
机器人组患者的平均手术时间更短（102.41±39.44 分钟与 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 小时与 34.93±11.74 小时，p=0.007）。没有严重并发症。
接受机器人方法的组手术时间更短，住院时间更短。在狭窄、出血或漏液方面没有差异。
