Int J Med Robot - Robotic revisional bariatric surgery: a comparative study with laparoscopic and open surgery.

Tópicos

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Resumo

CKGROUND: Revisional bariatric procedures (RBP) can be technically challenging. While robotics might provide help for complex procedures, the study aim was to report our experience with robotic RBP.METHODS: From March 2000 to June 2013, 60 consecutive RBP (11 robotic, 21 laparoscopic, 28 open) have been prospectively entered into a dedicated database and reviewed retrospectively. Outcomes have been compared between the three approaches.RESULTS: The robotic group had fewer complications (0 vs. 14.3% for laparoscopy, vs. 10.7% for open; P>0.05), but took longer than the other approaches (352 vs. 270 vs. 250minutes respectively; P<0.05). There were fewer conversions in the robotic group (0 vs. 14.3% for laparoscopy; P>0.05), and a significantly shorter hospital stay (6 vs. 8 vs. 9days, respectively).CONCLUSIONS: Robotic RBP is feasible and safe, but at the price of a longer operative time. The exact role of robotics remains yet to be defined for this indication in larger studies.

Resumo Limpo

ckground revision bariatr procedur rbp can technic challeng robot might provid help complex procedur studi aim report experi robot rbpmethod march june consecut rbp robot laparoscop open prospect enter dedic databas review retrospect outcom compar three approachesresult robot group fewer complic vs laparoscopi vs open p took longer approach vs vs minut respect p fewer convers robot group vs laparoscopi p signific shorter hospit stay vs vs day respectivelyconclus robot rbp feasibl safe price longer oper time exact role robot remain yet defin indic larger studi

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