Perioperative outcomes after totally robotic gastric bypass: a prospective nonrandomized controlled study.

Authors :: Benizri EI
Renaud M
Reibel N
Germain A
Ziegler O
Zarnegar R
Ayav A
Bresler L
Brunaud L
Source :: American journal of surgery [Am J Surg] 2013 Aug; Vol. 206 (2), pp. 145-51. Date of Electronic Publication: 2013 Jun 02.
Publication Year :: 2013
Abstract: Background: Perioperative short-term outcomes could be improved after totally robotic Roux-en-Y gastric bypass (TR-RYGBP) compared with conventional laparoscopic gastric bypass.<br />Methods: This is a nonrandomized controlled prospective study (N = 200) to evaluate perioperative short-term outcomes. The primary endpoint was to investigate risk factors for 30-day surgical complications.<br />Results: Mean total operative time was shorter in patients who underwent TR-RYGBP (130 vs 147 minutes; P < .0001). However, postoperative surgical complications rate (13% vs 1%; P = .001), and mean overall hospital stay (9.3 vs 6.7 days; P < .0001) were higher after TR-RYGBP. By multivariate analysis, robotic surgery (hazard ratio [HR] = 15.1; 95% confidence interval [CI], 2.8 to 280; P = .01), and conversion to laparotomy (HR = 18.8; 95% CI, 1.7 to 250.8; P = .014) were independent risk factors for 30-day surgical complications.<br />Conclusions: Although robotic gastric bypass reduces mean operative time, TR-RYGBP is associated with an increased postoperative surgical complications rate and longer hospitalization.<br /> (Copyright © 2013 Elsevier Inc. All rights reserved.)

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