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Robotic-Assisted Bariatric Surgery

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Obesity, Bariatric and Metabolic Surgery
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Abstract

Intuitive Surgical, Inc., United States of America obtained the Food and Drug Administration approval in 2000 and introduced the da Vinci ™ robot system in the United States providing an alternative platform for performing minimally invasive surgery. The system offers enhanced three-dimensional vision and wrist-like articulating instrumentation providing ergonomic and technical advantages to the surgeon. Soon after its introduction, da Vinci ™ system has been used for complex abdominal operations including bariatric procedures. Its use has now been described for all primary bariatric operations. It is also finding increased use in revisional bariatric surgery.

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References

  1. Al-Mazrou AM, Cruz MV, Dakin G, Bellorin-Marin OE, Pomp A, Afaneh C. Robotic Duodenal switch is associated with outcomes comparable to those of laparoscopic approach. Obes Surg. 2021;31(5):2019–29.

    Article  Google Scholar 

  2. Altieri MS, Yang J, Telem DA, Meng Z, Frenkel C, Halbert C, Talamini M, Pryor AD. Lap band outcomes from 19,221 patients across centers and over a decade within the state of New York. Surg Endosc. 2016;30(5):1725–32.

    Article  Google Scholar 

  3. Andalib A, Bouchard P, Alamri H, Bougie A, Demyttenaere S, Court O. Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S): short-term outcomes from a prospective cohort study. Surg Obes Relat Dis. 2021;17(2):414–24.

    Article  Google Scholar 

  4. Antanavicius G, Katsichtis T, Alswealmeen W, Assali M. Three hundred four robotically assisted biliopancreatic diversion with duodenal switch operations with gradual robotic approach implementation: short-term outcomes, complication profile, and lessons learned. Obes Surg. 2020;30(10):3961–7.

    Article  Google Scholar 

  5. Ayloo S, Buchs NC, Addeo P, Bianco FM, Giulianotti PC. Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech A. 2011;21(4):295–9.

    Article  Google Scholar 

  6. Beckmann JH, Mehdorn AS, Kersebaum JN, von Schonfels W, Taivankhuu T, Laudes M, Egberts JH, Becker T. Pros and Cons of robotic revisional bariatric surgery. Visc Med. 2020;36(3):238–45.

    Article  Google Scholar 

  7. Biertho L, Theriault C, Bouvet L, Marceau S, Hould FS, Lebel S, Julien F, Tchernof A. Second-stage duodenal switch for sleeve gastrectomy failure: a matched controlled trial. Surg Obes Relat Dis. 2018;14(10):1570–9.

    Article  Google Scholar 

  8. Buchs NC, Pugin F, Bucher P, Hagen ME, Chassot G, Koutny-Fong P, Morel P. Learning curve for robot-assisted Roux-en-Y gastric bypass. Surg Endosc. 2012;26(4):1116–21.

    Article  Google Scholar 

  9. Cahais J, Lupinacci RM, Oberlin O, Goasguen N, Zuber K, Valverde A. Less morbidity with robot-assisted gastric bypass surgery than with laparoscopic surgery? Obes Surg. 2019;29(2):519–25.

    Article  CAS  Google Scholar 

  10. Deng JY, Lourie DJ. 100 robotic-assisted laparoscopic gastric bypasses at a community hospital. Am Surg. 2008;74(10):1022–5.

    Article  Google Scholar 

  11. Diamantis T, Alexandrou A, Nikiteas N, Giannopoulos A, Papalambros E. Initial experience with robotic sleeve gastrectomy for morbid obesity. Obes Surg. 2011;21(8):1172–9.

    Article  Google Scholar 

  12. Economopoulos KP, Theocharidis V, McKenzie TJ, Sergentanis TN, Psaltopoulou T. Robotic vs. laparoscopic Roux-En-Y gastric bypass: a systematic review and meta-analysis. Obes Surg. 2015;25(11):2180–9.

    Article  Google Scholar 

  13. Edelson PK, Dumon KR, Sonnad SS, Shafi BM, Williams NN. Robotic vs. conventional laparoscopic gastric banding: a comparison of 407 cases. Surg Endosc. 2011;25(5):1402–8.

    Article  Google Scholar 

  14. El Chaar M, King K, Pastrana M, Galvez A, Stoltzfus J. Outcomes of robotic surgery in revisional bariatric cases: a propensity score-matched analysis of the MBSAQIP registry. J Robot Surg. 2021;15(2):235–9.

    Article  Google Scholar 

  15. Elli EF, Masrur MA, Giulianotti PC. Robotic sleeve gastrectomy after liver transplantation. Surg Obes Relat Dis. 2013;9(1):e20–2.

    Article  Google Scholar 

  16. English WJ, DeMaria EJ, Hutter MM, Kothari SN, Mattar SG, Brethauer SA, Morton JM. American Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States. Surg Obes Relat Dis. 2020;16(4):457–63.

    Article  Google Scholar 

  17. Fazylov RM, Savel RH, Horovitz JH, Pagala MK, Coppa GF, Nicastro J, Lazzaro RS, Macura JM. Association of super-super-obesity and male gender with elevated mortality in patients undergoing the duodenal switch procedure. Obes Surg. 2005;15(5):618–23.

    Article  Google Scholar 

  18. Hagen ME, Sedrak M, Wagner OJ, Jacobsen G, Talamini M, Horgan S. Morbid obesity with achalasia: a surgical challenge. Obes Surg. 2010;20(10):1456–8.

    Article  Google Scholar 

  19. Hedberg J, Sundstrom J, Sundbom M. Duodenal switch versus Roux-en-Y gastric bypass for morbid obesity: systematic review and meta-analysis of weight results, diabetes resolution and early complications in single-centre comparisons. Obes Rev. 2014;15(7):555–63.

    Article  CAS  Google Scholar 

  20. Jacobsen G, Berger R, Horgan S. The role of robotic surgery in morbid obesity. J Laparoendosc Adv Surg Tech A. 2003;13(4):279–83.

    Article  Google Scholar 

  21. Jain-Spangler K, Portenier D, Torquati A, Sudan R. Conversion of vertical banded gastroplasty to stand-alone sleeve gastrectomy or biliopancreatic diversion with duodenal switch. J Gastrointest Surg. 2013;17(4):805–8.

    Article  Google Scholar 

  22. Keshishian A, Zahriya K, Hartoonian T, Ayagian C. Duodenal switch is a safe operation for patients who have failed other bariatric operations. Obes Surg. 2004;14(9):1187–92.

    Article  Google Scholar 

  23. King K, Galvez A, Stoltzfus J, Claros L, El Chaar M. Robotic-assisted surgery results in a shorter hospital stay following revisional bariatric surgery. Obes Surg. 2021;31(2):634–9.

    Article  Google Scholar 

  24. Lee Y, Ellenbogen Y, Doumouras AG, Gmora S, Anvari M, Hong D. Single- or double-anastomosis duodenal switch versus Roux-en-Y gastric bypass as a revisional procedure for sleeve gastrectomy: a systematic review and meta-analysis. Surg Obes Relat Dis. 2019;15(4):556–66.

    Article  Google Scholar 

  25. Markar SR, Venkat-Raman V, Ho A, Karthikesalingam A, Kinross J, Evans J, Bloom I. Laparoscopic versus open appendicectomy in obese patients. Int J Surg. 2011;9(6):451–5.

    Article  Google Scholar 

  26. Muhlmann G, Klaus A, Kirchmayr W, Wykypiel H, Unger A, Holler E, Nehoda H, Aigner F, Weiss HG. DaVinci robotic-assisted laparoscopic bariatric surgery: is it justified in a routine setting? Obes Surg. 2003;13(6):848–54.

    Article  Google Scholar 

  27. Nasser H, Munie S, Kindel TL, Gould JC, Higgins RM. Comparative analysis of robotic versus laparoscopic revisional bariatric surgery: perioperative outcomes from the MBSAQIP database. Surg Obes Relat Dis. 2020;16(3):397–405.

    Article  Google Scholar 

  28. Nelson L, Teixeira AF, Jawad MA. Robotic sleeve gastrectomy, hiatal hernia repair and anterior fundoplication in a patient with symptomatic GERD. Surg Obes Relat Dis. 2016;12(4):928–30.

    Article  Google Scholar 

  29. Nguyen NT, Goldman C, Rosenquist CJ, Arango A, Cole CJ, Lee SJ, Wolfe BM. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234(3):279–89; discussion 289–291

    Article  CAS  Google Scholar 

  30. Parikh M, Gagner M. Laparoscopic revision of gastrogastric stricture with a transoral circular stapler. Surg Innov. 2007;14(3):225–30.

    Article  Google Scholar 

  31. Park CW, Lam EC, Walsh TM, Karimoto M, Ma AT, Koo M, Hammill C, Murayama K, Lorenzo CS, Bueno R. Robotic-assisted Roux-en-Y gastric bypass performed in a community hospital setting: the future of bariatric surgery? Surg Endosc. 2011;25(10):3312–21.

    Article  Google Scholar 

  32. Puri V, Ramachandran J, Sudan R. Experience with the duodenal switch operation in the presence of intestinal malrotation. Obes Surg. 2008;18(5):615–7.

    Article  Google Scholar 

  33. Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10(6):514–23; Discussion 524

    Article  CAS  Google Scholar 

  34. Rogula T, Koprivanac M, Janik MR, Petrosky JA, Nowacki AS, Dombrowska A, Kroh M, Brethauer S, Aminian A, Schauer P. Does robotic Roux-en-Y gastric bypass provide outcome advantages over standard laparoscopic approaches? Obes Surg. 2018;28(9):2589–96.

    Article  Google Scholar 

  35. Sanchez BR, Mohr CJ, Morton JM, Safadi BY, Alami RS, Curet MJ. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1(6):549–54.

    Article  Google Scholar 

  36. Scarritt T, Hsu CH, Maegawa FB, Ayala AE, Mobily M, Ghaderi I. Trends in utilization and perioperative outcomes in robotic-assisted bariatric surgery using the MBSAQIP database: a 4-year analysis. Obes Surg. 2021;31(2):854–61.

    Article  Google Scholar 

  37. Schauer P, Ikramuddin S, Hamad G, Gourash W. The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc. 2003;17(2):212–5.

    Article  CAS  Google Scholar 

  38. Shikora SA, Kim JJ, Tarnoff ME, Raskin E, Shore R. Laparoscopic Roux-en-Y gastric bypass: results and learning curve of a high-volume academic program. Arch Surg. 2005;140(4):362–7.

    Article  Google Scholar 

  39. Snyder BE, Wilson T, Leong BY, Klein C, Wilson EB. Robotic-assisted Roux-en-Y Gastric bypass: minimizing morbidity and mortality. Obes Surg. 2010;20(3):265–70.

    Article  Google Scholar 

  40. Sudan R, Desai S. Conversion of laparoscopic adjustable gastric band to robot-assisted laparoscopic biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis. 2011;7(4):546–7.

    Article  Google Scholar 

  41. Sudan R, Desai SS. Emergency and weekend robotic surgery are feasible. J Robot Surg. 2012;6(3):263–6.

    Article  Google Scholar 

  42. Sudan R, Puri V, Sudan D. Robotically assisted biliary pancreatic diversion with a duodenal switch: a new technique. Surg Endosc. 2007;21(5):729–33.

    Article  CAS  Google Scholar 

  43. Sudan R, Kasotakis G, Betof A, Wright A. Sleeve gastrectomy strictures: technique for robotic-assisted strictureplasty. Surg Obes Relat Dis. 2010;6(4):434–6.

    Article  Google Scholar 

  44. Sudan R, Bennett KM, Jacobs DO, Sudan DL. Multifactorial analysis of the learning curve for robot-assisted laparoscopic biliopancreatic diversion with duodenal switch. Ann Surg. 2012;255(5):940–5.

    Article  Google Scholar 

  45. Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4(4):353–7.

    Article  CAS  Google Scholar 

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Acknowledgement

The authors are grateful to Brandon V. Henry, Vivek Bindal and Erica Podolsky for their work in producing this chapter in the first edition of the book.

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Correspondence to Ranjan Sudan .

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Totally robotic Roux-en-Y gastric bypass (MP4 286331 kb)

Totally robotic biliopancreatic diversion with duodenal switch (MP4 98883 kb)

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Sudan, R., Juo, Y.Y. (2023). Robotic-Assisted Bariatric Surgery. In: Agrawal, S. (eds) Obesity, Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-60596-4_38

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  • DOI: https://doi.org/10.1007/978-3-030-60596-4_38

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-60595-7

  • Online ISBN: 978-3-030-60596-4

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