Robotic sleeve gastrectomy for morbid obesity: report of a 5 year experience

Alexandrou, Andreas; Mantonakis, Eleftherios; Pikoulis, Emmanouil; Margariti, Theodora S; Dimitrokallis, Nikos; Diamantis, Theodoros

doi:10.1002/rcs.1662

Cited by 9 publications

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…24 The laparoscopic nature of SG allows for faster healing and recovery time with early mobilization and relatively less pain and scarring. 25,26 A review study conducted by Diamantis et al 24 found that SG procedures not only resulted in immediate and midterm weight loss, but also that this weight loss was maintained, on average, at >50 per cent of the original weight even after five years.…”

Section: No 2 Weight Loss and Glycemic Controlmentioning

confidence: 99%

Weight Loss and Glycemic Control after Sleeve Gastrectomy: Results from a Middle Eastern Center of Excellence

Khalifa

Ansari²,

Showaiter³

2018

The American Surgeon™

View full text Add to dashboard Cite

Obesity and its associated metabolic disorders are strongly linked to both morbidity and mortality. Sleeve gastrectomy (SG) has been established as an effective means of weight loss for obese patients as well as a treatment for type 2 diabetes mellitus (T2DM). This study was designed to examine the short- and midterm outcomes of patients who underwent SG in a Middle Eastern Center of Excellence, a military training teaching hospital. The clinical outcomes of 59 patients with impaired glucose tolerance and T2DM who underwent SG between 2011 and 2014 with at least one and up to four years of follow-up were studied. Data were collected and compared, including the pre- and post-surgery measures of weight, body mass index, glycosylated hemoglobin (HbA1c), and fasting blood glucose. Complete remission was defined as a fasting blood glucose level ≤100 mg/dL, an HbA1c ≤6 mg/dL, without use of antidiabetic medications. All patients showed significant reduction in body mass index following SG. Tight glycemic control was achieved among both diabetic and prediabetic patients. In this study, 88.14 per cent of all patients (diabetic and prediabetic) achieved complete resolution from their impaired glucose tolerance and T2DM and maintained normal blood glucose and HbA1C levels from one to four years post-operatively. SG is beneficial both in terms of short- and midterm weight loss and glucose control in both diabetic and prediabetic obese patients.

show abstract

Section: No 2 Weight Loss and Glycemic Controlmentioning

confidence: 99%

Weight Loss and Glycemic Control after Sleeve Gastrectomy: Results from a Middle Eastern Center of Excellence

Khalifa

Ansari²,

Showaiter³

2018

The American Surgeon™

View full text Add to dashboard Cite

show abstract

“…Robot-assisted surgery brings the benefits of minimally invasive surgery to the weight-loss surgery [ 8 ]. The da Vinci operating robot was approved by FDA in 2000, and currently is widely applied in bariatric surgery [ 9 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients

Chen,

Jiang,

Zhong

et al. 2023

BMC Surg

View full text Add to dashboard Cite

Objective To analyze the effect of a new type of tension-reduced suture named “double W tension-reduced suture technique” on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients. Methods 40 abdominal incisions following the da Vinci robot-assisted gastrectomy on severely obese patients from September 1st, 2021 to March 1st, 2022 were comprised in the study. 20 incisions were closed by the conventional full-thickness surgical suture as the control group, and 20 incisions were sewn up by double W tension-reduced suture as the double W group. The scars were assessed at the 1-month follow-up visit using the Vancouver scar scale (VSS), ultrasound and patient satisfaction. Meanwhile, digital photographs of scars were taken as well. Results The VSS score was 6.80 ± 2.16 in the control group, while that of the double W group was 2.60 ± 1.89. The difference between groups was significant. Digital photographs showed that the scar color was not only light and close to the skin color, but also flat and soft in the double W group. Ultrasound showed that the fibers of subcutaneous tissue in the double W group were arranged neatly, the ultrasonic signal intensity was relatively uniform, and the tunnel was small without obvious lacunae. More patients were satisfied and very satisfied with scars in the double W group. Conclusion Double W tension-reduced suture technique could significantly improve the appearance and reduce comorbidities of scars following the da Vinci robot-assisted gastrectomy for severely obese patients.

show abstract

“…The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database showed that, in the last few years, the da Vinci robotic platform has increasingly emerged as an attractive technology in bariatric surgery [ 8 , 9 ]. At present, da Vinci sleeve gastrectomy has been carried out, showing good results [ 10 , 11 ]. Robotic-assisted sleeve gastrectomy offers a viable platform to surgeons performing sleeve gastrectomy.…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted sleeve gastrectomy in patients with obesity with a novel Chinese domestic MicroHand SII surgical system

Kong

et al. 2021

BMC Surg

View full text Add to dashboard Cite

Background A new device has been added to the Chinese MicroHand surgical robot family, developed based on the successful application of control algorithms. As a benefit of using these specialized control algorithms, the motion mapping relation can be accommodated into the system without the help of a built-in image system, resulting in a novel Chinese domestic surgical robot with two arms called MicroHand SII, which is different from the former MicroHand S and da Vinci systems. In this study, we investigate the performance of a novel MicroHand SII robotic platform in patients with obesity. Methods From March 2018 to April 2019, a total of 7 patients whose BMI ranged from 29.9 to 49.8 kg/m2 were operated on with the robot-assisted technique using the MicroHand SII surgical system. Data regarding demography, surgical procedure and the 3-month outcome postoperation were collected. Results There were 2 female and 5 male patients with a median age (range) of 35 (20–51) years. The median operative time was 160 (149–195) minutes. None were converted to open surgery. All anthropometry indices improved significantly (p < 0.05) at 3 months postoperatively. There were no cases of surgical site infection, gastrointestinal/abdominal bleeding, or conversion to an open operation. Conclusions The initial experience showed that the Chinese domestic robot surgical system MicroHand SII could be feasibly and safely applied in sleeve gastrectomy in patients with obesity. Because of the unique design of this system such as a two-hand robot, an array of master–slave motion strategies, and a roll joint at the end of the instruments that allows 7 degrees of freedom, this robotic platform has presented its own obvious advantages.

show abstract

Robotic sleeve gastrectomy for morbid obesity: report of a 5 year experience

Abstract: Robotic sleeve gastrectomy is an effective procedure as far as initial excess weight loss is concerned and this loss is well maintained 5 years post-operatively, a finding similar to relevant data after conventional laparoscopic sleeve gastrectomy. Copyright © 2015 John Wiley & Sons, Ltd.

Cited by 9 publications

References 20 publications

Weight Loss and Glycemic Control after Sleeve Gastrectomy: Results from a Middle Eastern Center of Excellence

Weight Loss and Glycemic Control after Sleeve Gastrectomy: Results from a Middle Eastern Center of Excellence

The effect of double W tension-reduced suture technique on the abdominal scars following the da Vinci robot-assisted gastrectomy for severely obese patients

Robot-assisted sleeve gastrectomy in patients with obesity with a novel Chinese domestic MicroHand SII surgical system

Contact Info

Product

Resources

About