Clinical Teaching Hospital of Medical School, Northern Jiangsu People's Hospital, Nanjing University, Yangzhou, China.
Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, China.
Obes Surg. 2024 Sep;34(9):3493-3505. doi: 10.1007/s11695-024-07413-z. Epub 2024 Jul 23.
Laparoscopic sleeve gastrectomy (LSG) has emerged as the predominant metabolic bariatric surgery. With a growing number of studies evaluating the feasibility of robotic sleeve gastrectomy (RSG), it becomes imperative to ascertain whether the outcomes of both techniques are comparable. This study endeavors to synthesize existing evidence and juxtapose the surgical outcomes of LSG and RSG.
We collected articles comparing LSG and RSG published between 2011 and 2024. The compiled data included author names, study duration, sample size, average age, gender distribution, geographical location, preoperative body mass index (BMI), bougie diameter, duration of hospitalization, surgical duration, readmission rates, conversion rates, costs, postoperative percentage of excess weight loss (%EWL), postoperative BMI, mortality rates, and complications.
We incorporated 21 articles. Both the RSG and LSG cohorts exhibited comparable rates of readmission, conversion, mortality, and incidence of complications (p > 0.05). Moreover, the efficacy of weight loss was similar between RSG and LSG. Nonetheless, RSG was linked to longer operative duration (WMD, -27.50 minutes; 95% confidence interval [CI], -28.82 to -26.18; p < 0.0001), prolonged hospitalization (WMD, -0.15 days; 95% CI, -0.25 to -0.04; p = 0.006), and elevated expenses (WMD, -5830.9 dollars; 95% CI, -8075.98 to -3585.81; p < 0.0001).
While both RSG and LSG demonstrated positive postoperative clinical outcomes, RSG patients experienced extended hospital stays, longer operative times, and increased hospitalization costs compared to LSG patients. Using the robotic platform for sleeve gastrectomy (SG) in patients with obesity did not appear to offer any clear benefits.
腹腔镜袖状胃切除术（LSG）已成为主要的代谢减重手术。随着越来越多的研究评估机器人袖状胃切除术（RSG）的可行性，确定这两种技术的结果是否可比变得至关重要。本研究旨在综合现有证据，并列比较 LSG 和 RSG 的手术结果。
我们收集了 2011 年至 2024 年期间比较 LSG 和 RSG 的文章。编译的数据包括作者姓名、研究持续时间、样本量、平均年龄、性别分布、地理位置、术前体重指数（BMI）、探条直径、住院时间、手术时间、再入院率、转化率、费用、术后超重减轻百分比（%EWL）、术后 BMI、死亡率和并发症。
我们纳入了 21 篇文章。RSG 和 LSG 两组的再入院率、转化率、死亡率和并发症发生率相似（p>0.05）。此外，RSG 和 LSG 减轻体重的效果相似。然而，RSG 与手术时间较长相关（WMD，-27.50 分钟；95%置信区间 [CI]，-28.82 至 -26.18；p<0.0001）、住院时间延长（WMD，-0.15 天；95% CI，-0.25 至 -0.04；p=0.006）和费用增加（WMD，-5830.9 美元；95% CI，-8075.98 至 -3585.81；p<0.0001）。
虽然 RSG 和 LSG 都显示出积极的术后临床结果，但与 LSG 患者相比，RSG 患者的住院时间延长、手术时间延长且住院费用增加。在肥胖患者中使用机器人平台进行袖状胃切除术（SG）似乎没有带来任何明显的益处。
