O-B02 Robotic versus Laparoscopic Roux-en-Y Gastric Bypass: A comparison of short-term outcomes and weight loss

Abstract Background The benefits of robotic over laparoscopic surgery for Roux-en-Y gastric bypass (RYGB) are debatable, with current evidence suggesting no significant differences in short-term outcomes. This study compares short-term outcomes and excess weight loss (EWL) % difference between these two techniques. Methods A retrospective study of patients undergoing RYGB between January 2016 and November 2020 at a single centre. Demographic, peri-operative and EWL% data were analysed. Results 424 RYGB procedures were performed by three surgeons including 77 robotic (RRYGB) and 347 laparoscopic (LRYGB) operations. The first 8 RRYGB were excluded being early in the learning curve and the operative technique was modified afterwards. There were no statistically significant demographic differences. The median operative time was 179 (151 – 195) and 149 (123 -171) minutes in the RRYGB and LRYGB groups respectively (P < 0.001). There were no statistically significant differences between both groups in complications, length of stay, 30-day readmission and EWL% at 6 and 12 months. The EWL% at 2 years was 88.5 (+/-19.1) and 66.6 (+/-29.8) in the RRYGB and LRYGB groups respectively (P = 0.003). Conclusions RRYGB increases the operative time with no significant short-term outcome differences. The EWL% was higher at 2 years, probably due to a narrower hand-sewn gastro-jejunal anastomosis.

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Minimally invasive conversion of sleeve gastrectomy to Roux-en-Y Gastric Bypass for Intractable Gastroesophageal Reflux Disease: Short Term Outcome

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2018.09.294 ◽

2018 ◽

Vol 14 (11) ◽

pp. S131-S132

Author(s):

Daniel G Davis ◽

Lauren Kastner ◽

Steven Leeds

Keyword(s):

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Gastroesophageal Reflux Disease ◽

Gastroesophageal Reflux ◽

Minimally Invasive ◽

Reflux Disease ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome

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Comparison of short-term outcome of laparoscopic sleeve gastrectomy and gastric bypass in the treatment of morbid obesity: A prospective randomized controlled multicenter SLEEVEPASS study with 6-month follow-up

Scandinavian Journal of Surgery ◽

10.1177/1457496913509984 ◽

2014 ◽

Vol 103 (3) ◽

pp. 175-181 ◽

Cited By ~ 35

Author(s):

M. Helmiö ◽

M. Victorzon ◽

J. Ovaska ◽

M. Leivonen ◽

A. Juuti ◽

...

Keyword(s):

Morbid Obesity ◽

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Laparoscopic Sleeve Gastrectomy ◽

Short Term ◽

Term Outcome ◽

Randomized Controlled ◽

Short Term Outcome

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Single Anastomosis Gastric Bypass—Comparative Short-Term Outcome Study of Conversional and Primary Procedures

Obesity Surgery ◽

10.1007/s11695-016-2336-4 ◽

2016 ◽

Vol 27 (2) ◽

pp. 432-438 ◽

Cited By ~ 8

Author(s):

Chanan Meydan ◽

Asnat Raziel ◽

Nasser Sakran ◽

Varda Gottfried ◽

David Goitein

Keyword(s):

Gastric Bypass ◽

Outcome Study ◽

Short Term ◽

Term Outcome ◽

Single Anastomosis Gastric Bypass ◽

Single Anastomosis ◽

Short Term Outcome

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The Effect of the Resection Distance from the Pylorus on the Short-Term Outcome of Laparoscopic Sleeve Gastrectomy

10.21203/rs.3.rs-87717/v1 ◽

2020 ◽

Author(s):

Ahmed H Hussein ◽

Islam Khaled ◽

Mohammed Faisal

Keyword(s):

Quality Of Life ◽

Morbid Obesity ◽

Weight Loss ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome ◽

Group 2 ◽

Group 1

Abstract Background: Laparoscopic sleeve gastrectomy (LSG) was recently described as an effective approach for the operative treatment of obesity, but the ideal procedure remains controversial. One of the most debated issues is the resection distance from the pylorus (DP). We conducted this study to elucidate any potential difference in the short-term outcome between 2 cm and 6 cm DP in LSG.Methods: This was an interventional, prospective, randomized study aimed at assessing the effect of the resection DP on the weight loss outcome as expressed by the excess weight loss percentage (%EWL) after LSG carried out from January 2018 to March 2020 in 96 patients with morbid obesity who had LSG performed at the Surgical Department, Suez Canal University. The patients were randomly separated into two equal groups; Group 1 (48 patients) underwent LSG with a 2 cm DP resection distance and Group 2 (48 patients) underwent LSG with a 6 cm DP resection distance. Body weight, body mass index, bariatric quality of life, lipid profile, and comorbidities were evaluated pre- and postoperatively for a duration of 12 months.Results: Statistically, there was no significant difference between the two study groups regarding the %EWL, comorbidity resolution throughout the postoperative follow-up, enhancement of the quality of life score throughout the postoperative follow-up, or incidence of complications (25% in Group 1 vs. 25% in Group 2, p > 0.05).Conclusion: LSG was an effective and safe management for morbid obesity and obesity-related comorbidities with significant short-term weight loss; it also improved weight-related quality of life and had an acceptable complication rate. The DP resection distance did not affect the short-term effects of LSG with regard to %EWL, resolution of comorbidities, change in quality of life, and occurrence of complications.

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