Robotic versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity: a Systematic Review and Meta-analysis

Abstract

We aim to review the available literature on obese patients treated with robotic or laparoscopic sleeve gastrectomy, in order to compare the clinical outcomes and intraoperative parameters of the two methods. A systematic literature search was performed in PubMed, Cochrane Library and EBSCOhost databases, in accordance with the PRISMA guidelines. Sixteen studies met the inclusion criteria incorporating 29,787 patients. Robotic sleeve gastrectomy (RSG) technique showed significantly higher mean operative time and increased length of hospital stay. Post-operative incidence of leakage, wound infection and bleeding, along with weight reduction, were comparable. The majority of the studies assessing charges found increased cost in RSG population. Well-designed, randomized controlled studies, comparing RSG to laparoscopic sleeve gastrectomy (LSG), are necessary to assess further their clinical outcomes and cost-effectiveness.

Dietary Habits and Prevalence of Underweight/ Obesity in Students of University of Gujrat, Pakistan

“…The reason behind this factor is that Saudi students mainly consume junk 15 as compared to our study. In Kuwaiti university students the said ratios were thirty two % and 8.9%, whereas in United Arab Emirates the percentage for male overweight students was 35% and almost similar ratio was observed in USA [16][17][18] . Prevalence of underweight in this study is higher than many of other reported studies.…”

Adoption of robotic technology in Turkey: A nationwide analysis on caseload and platform used

“…That decrease might be explained by globally increased application of sleeve gastrectomy for weight loss purposes, which can be more easily performed by laparoscopic technique . Robotic bariatric surgery has been shown to be as safe as laparoscopic counterpart . The two previous meta‐analyses revealed that increased operative time and higher costs are the main limitations robotics in this field.…”

“…Robotic bariatric surgery has been shown to be as safe as laparoscopic counterpart . The two previous meta‐analyses revealed that increased operative time and higher costs are the main limitations robotics in this field. However, robotic surgery provides two important advantages that overcome the limitations of laparoscopy.…”

“…Since its first application for cholecystectomy in 1985, laparoscopy has been implemented in almost all the fields of general surgery because of its postoperative recovery benefits . However, laparoscopy has several drawbacks such as 2D visuality, limited ergonomics while working in confined spaces and tremor effect.…”

“…Since its first application for cholecystectomy 1 in 1985, laparoscopy has been implemented in almost all the fields of general surgery because of its postoperative recovery benefits. [2][3][4][5] However, laparoscopy has several drawbacks such as 2D visuality, limited ergonomics while working in confined spaces and tremor effect. Those limitations have urged surgeons and industry to figure out solutions and to improve quality and outcomes of minimally invasive surgery.…”