Robotic Roux-en-Y Gastric Bypass as a Revisional Bariatric Procedure: a Single-Center Prospective Cohort Study

Obesity Surgery
Fabrizio RebecchiMario Morino

Abstract

Roux-en-Y gastric bypass (RYGB) is the procedure of choice to manage the failure of primary bariatric surgery. However, the current evidence on the role of the robotic technology in revisional bariatric surgery is very limited. The aim of this study is to report safety and effectiveness of revisional RYGB performed with the DaVinci Robotic Surgical System (R-rRYGB) after failed primary bariatric surgery. Clinical data of consecutive patients undergoing R-rRYGB were included in a prospectively collected database. Intraoperative findings, early postoperative outcomes, and 1-year follow-up results were considered. Primary outcome was postoperative morbidity rate. Secondary outcomes were conversion to open surgery, length of stay, percentage of excess weight loss (%EWL), resolution of complications, and costs. A total of 68 patients underwent R-rRYGB at our department from 2011 to 2016. Primary procedures were laparoscopic adjustable gastric banding (n = 10), vertical banded gastroplasty (n = 43), and sleeve gastrectomy (n = 15). Conversion rate to open surgery was 2.9%. Postoperative morbidity rate was 8.8%, with no anastomotic leaks reported. Total cost for surgical procedure was 14,334.7 ± 2920.4 €. Revisional RYGB is a complex ...Continue Reading

References

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Aug 20, 2018·Obesity Surgery·Luigi AngrisaniN Scopinaro

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Citations

Jan 5, 2021·Obesity Surgery·Nicolas H DreifussMario A Masrur
Mar 2, 2021·Obesity Surgery·Yilon Lima Cheng, Enrique F Elli
Mar 14, 2021·Updates in Surgery·Simone ArolfoMario Morino
Mar 22, 2021·The Surgical Clinics of North America·Katelin MirkinAnn M Rogers
Aug 11, 2020·Visceral Medicine·Jan Henrik BeckmannThomas Becker

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