Robotic vs. conventional laparoscopic gastric banding: a comparison of 407 cases

Abstract

In this series, robotic and conventional approaches were similar in complication rates, operating time, and length of postoperative hospital stay. However, for patients with a preoperative BMI≥50 kg/m2, the operating time is significantly shorter using the robotic approach despite the adoption of this new technique. These data suggest that the robotic approach is at least as safe as the conventional laparoscopic approach in LAGB, and that the robotic approach should be considered for gastric banding candidates with BMI≥50 kg/m2.

Effect of Resected Gastric Fundus Fat on Ghrelin Tissue Levels: A Prospective Study

“…If patients do not regularly control themselves, pay attention their diet (nutrition, weight, and protein), and exercise sufficiently, weight loss will stop. The main aim during the 2 years following surgery is to encourage proper habits (18,19). From a technical aspect, the fat pad and fundus should be collected.…”

“…Few studies have addressed this subject. However, according to the literature (17)(18)(19), the major reason for regaining weight is that patients do not adhere to their diet or sufficiently alter their lifestyle.…”

Robotic-Assisted Bariatric Surgery

“…In this particular group of patients the thickness of the abdominal wall increases the torque of standard bariatric instruments. The authors attributed these findings to the characteristics of the robotic system such as longer and stiffer instrumentation, and mechanical power (Edelson et al, 2011;Jacobsen et al, 2003). Specifically, operative time in these patients is reported to be shorter than the LAGB counterparts (Edelson et al, 2011).…”

“…Both of them demonstrated no advantages in using robotic surgery in terms of hospital stay, complications and postoperative weight loss (Edelson et al, 2011;Moser & Horgan, 2004). However, both series noticed benefits in the super obese patients such as those BMI > 50 kg/m 2 .…”

“…Nevertheless, Cadiere et al, described the first robotic gastric band placement in 1999 (Cadiere et al, 1999). Later, several studies in the literature have reported the use of robotics for LAGB (Edelson et al, 2011;Moser & Horgan, 2004).…”