Most common robotic bariatric procedures: review and technical aspects

Acquafresca, Pablo; Palermo, Mariano; Rogula, Tomasz; Duza, Guillermo; Serra, Edgardo

doi:10.1186/s13022-015-0019-9

Cited by 19 publications

(8 citation statements)

References 49 publications

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“…Initially, bariatric 21 and cardiothoracic surgery were the two specialties that embraced robotic surgery with great enthusiasm. However, other forms of minimal access surgery have proven to be just as effective (and cheaper and easier) in most cases, such that robotic procedures are the minority in these specialties now.…”

Section: The Rise Of the Robotsmentioning

confidence: 99%

Five thousand years of minimal access surgery: 1990–present: organisational issues and the rise of the robots

Hargest

2020

J R Soc Med

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The last 30 years have seen a revolution in the provision of minimal access surgery for many conditions, and technological advances are increasing exponentially. Many instruments are superseded by improved versions before the NHS and publicly funded health services can offer widespread coverage. Although we tend to think of minimal access surgery as a modern concept, Parts I and II of this series have shown that there is a 5000-year history to this specialty and our predecessors laid down many principles which still apply today. During the 19th and early 20th centuries, minimal access surgery was driven forward by visionary individuals, often in the face of opposition from colleagues and the medical establishment. However, in the last 30 years, innovation has been driven more in partnerships between healthcare, scientific, financial, educational and charitable organisations. There are far too many individuals involved to detail every contribution here, but this third part of the series will concentrate on some of the important themes in the development of minimal access surgery to its current status.

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Section: The Rise Of the Robotsmentioning

confidence: 99%

Five thousand years of minimal access surgery: 1990–present: organisational issues and the rise of the robots

Hargest

2020

J R Soc Med

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“…Of course, the relevance of the robotic approach has been exposed in the unusually complex arena of bariatric surgery revisions, where the experts have been able to achieve results with more advanced dexterity and with a more ergonomically feasible method, with excellent visibility and with the advantage offered by the ability to control three arms and the endoscope simultaneously [63,64].…”

Section: Bariatric and Antireflux Surgery: The Youngest Field Is Evolmentioning

confidence: 99%

The Surgical Robot: Applications and Advantages in General Surgery

Barrera¹

2018

Surgical Robotics

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The field of General Surgery with its multiple sub-specialties has experienced the progression of minimally invasive procedures performed with the robotic technology since the last decade. The robotic applications are extensive and have contributed to the enrichment of the surgical sub-specialties based on advantages such as increased surgeon control and autonomy, superior instrument dexterity and tissue handling, improved three-dimensional visualization, wristed articulation, all of this despite the lack of haptic feedback. The sub-specialties of Colorectal, Hepatobiliary and Pancreatic, Gastric Oncologic, Bariatric, Foregut, Pediatric, Endocrine, and Hernia Surgery, in addition to General Surgery as the principal specialty, have produced several high-quality randomized controlled trials, meta-analyses, prospective and retrospective series which have established, in many instances, superior results to those of laparoscopy, and at least non-inferior outcomes over the years. From the first pioneer single-surgeon experiences around the world to the most recent large trials, including the first Robotic General Surgery case series in an American community hospital not classified as a tertiary referral center, patients continue to benefit from this technology as surgeons engage in overcoming their learning curve and training their teams, involving their hospital administrators and working with the industry to perfect their techniques for the sake of their patients.

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“…The first documented case of robotic bariatric surgery took place in 1998 when Drs. Cadiere and Himpens in Belgium performed a robotic-assisted laparoscopic gastric banding [ 1 , 2 ]. Since that time, the robotic surgical system has undergone several iterations of innovation in regards to the surgical platform’s functionality and efficiency [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Current Trends in the Utilization of a Robotic Approach in the Field of Bariatric Surgery

et al. 2022

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Purpose The utilization rate of robotic surgery for bariatric procedures is not well-described. Our study identified the proportion of metabolic and bariatric surgery (MBS) procedures in the United States between 2015 and 2020 performed using a robotic (R-) or laparoscopic (L-) approach. Materials and Methods A descriptive analysis of the 2015–2020 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Participant User Data File (PUF) datasets was performed. The primary outcome was (1) surgical cases performed annually and (2) proportion of cases performed using a R- or L- approach. Analysis was done separately for sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), biliopancreatic diversion with duodenal switch (BPD-DS), and revisional bariatric surgery (RBS). Statistical analysis consisted of means and proportions, fold difference, annual slope, and Student’s t tests or chi-square tests as appropriate, with statistical significance set to p < .05. Results A total of 1,135, 214 procedures were captured between 2015 and 2020. R-RYGB increased from 2554 to 6198 (6.8% to 16.7%), R-SG increased from 5229 to 17,063 (6.0% to 17.2%), R-RBS increased from 993 to 3386 (4.7% to 17.4%), and R-BPD-DS increased from 221 to 393 (22.0% to 28.4%). The greatest annual increase was observed among R-RBS and R-SG (3.70-fold difference; slope 2.4% per year and 2.87-fold difference; slope 2.2% per year, respectively). Conclusion There is a nationwide increase in the utilization of a R- approach in bariatric surgery. There are concerns related to the potential increase in healthcare expenditures related to robotics. Further studies are needed to establish key performance indicators along with guidelines for training, adoption and utilization of a R- approach. Graphical Abstract

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Most common robotic bariatric procedures: review and technical aspects

Cited by 19 publications

References 49 publications

Five thousand years of minimal access surgery: 1990–present: organisational issues and the rise of the robots

Five thousand years of minimal access surgery: 1990–present: organisational issues and the rise of the robots

The Surgical Robot: Applications and Advantages in General Surgery

Current Trends in the Utilization of a Robotic Approach in the Field of Bariatric Surgery

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