Current Status of Robot-Assisted Revisional Bariatric Surgery.
Carolina VanettaNicolás H DreifussFrancisco SchlottmannAlberto ManganoAntonio CubisinoValentina ValleCarolina BazFrancesco M BiancoChandra HassanAntonio GangemiMario A MasrurPublished in: Journal of clinical medicine (2022)
Bariatric surgery has been demonstrated to be effective in achieving significant weight loss and remission of obesity-related comorbidities. However, a percentage of patients fail to lose enough weight, regain weight, or experience postoperative complications, requiring additional interventions. Revisional bariatric surgeries (RBS) involve the wide spectrum of procedures that aim to treat complications of the index operation or achieve further weight loss. These are technically challenging procedures due to adhesions of the internal organs, reduced working space, and a distorted anatomy. Indications, timing, and type of operation for RBS are not standardized, and there is no consensus on the best surgical approach. Some authors claim a robotic platform could be advantageous in these types of procedures that are performed in reduced, deep operating fields, or those requiring precision and accuracy. This review examines the most current and representative literature on the outcomes of robot-assisted RBS. Included studies demonstrate the safety and feasibility of the robotic approach for RBS. However, long operative times and high costs remain major drawbacks of the device. Finally, if we consider that many centers have not yet completed the learning curve for robot-assisted RBS, the potential for improved outcomes seems promising.
Keyphrases
- robot assisted
- weight loss
- bariatric surgery
- gastric bypass
- roux en y gastric bypass
- obese patients
- minimally invasive
- glycemic control
- current status
- end stage renal disease
- weight gain
- newly diagnosed
- systematic review
- prognostic factors
- physical activity
- rheumatoid arthritis
- cross sectional
- risk factors
- clinical practice
- systemic lupus erythematosus
- disease activity
- human health
- skeletal muscle
- case control
- patient reported