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Minerva Chirurgica 2018 February;73(1):55-63

DOI: 10.23736/S0026-4733.17.07583-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Robotic versus laparoscopic sleeve gastrectomy: a review of the current evidence

Vasiliki S. TASIOPOULOU 1, Alexis A. SVOKOS 2, Konstantina A. SVOKOS 3, Dimitrios ZACHAROULIS 1, Dimitrios E. MAGOULIOTIS 1

1 Department of Surgery, University Hospital of Larissa, Larissa, Greece; 2 Riverside Regional Medical Center, Newport News, VA, USA; 3 Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA1


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INTRODUCTION: The purpose of the present study was to review the existing evidence on obese patients treated with either robotic or laparoscopic sleeve gastrectomy, in order to compare the clinical and perioperative outcomes of the two methods.
EVIDENCE ACQUISITION: A systematic literature search was performed in PubMed, Cochrane library and Scopus databases.
EVIDENCE SYNTHESIS: Sixteen studies were included in the present review and incorporated 29,787 patients. RSG technique was associated with significantly increased mean operative time and length of hospital stay. Postoperative incidence of leakage, bleeding, wound infection and excess weight reduction were comparable between the two groups. The majority of the studies assessing cost found higher charges in RSG population.
CONCLUSIONS: Newer randomized controlled trials, comparing RSG to LSG, are necessary in order to further assess their clinical outcomes in relation to cost.


KEY WORDS: Robotics - Robotic surgical procedures - Laparoscopy - Gastrectomy - Obesity, morbid

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