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Robotic vs. laparoscopic Roux‐en‐Y gastric bypass in morbidly obese patients: systematic review and pooled analysis
Author(s) -
Markar S. R.,
Karthikesalingam A. P.,
VenkatRamen V.,
Kinross J.,
Ziprin P.
Publication year - 2011
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.414
Subject(s) - medicine , roux en y anastomosis , anastomosis , gastric bypass , incidence (geometry) , meta analysis , surgery , cochrane library , morbidly obese , leak , laparoscopy , medline , general surgery , randomized controlled trial , weight loss , obesity , physics , environmental engineering , optics , engineering , political science , law
Abstract Background The aim of this study was to provide pooled analysis of individually small trials comparing robotic Roux‐en‐Y gastric bypass (RRYGB) with standard laparoscopic RYGB (LRYGB). Methods A systematic literature search of Medline, Embase and Cochrane Library databases was performed. Primary outcome measures were the incidence of anastomotic leak and stricture. Secondary outcome measures were post‐operative complications, operative time and length of hospital stay. Results Seven relevant studies of 1686 patients were included in this analysis. There was a significantly reduced incidence of anastomotic stricture in the robotic group (POR = 0.43; 95% CI = 0.19 to 0.98; p = 0.04). There was no significant difference between robotic and laparoscopic groups for anastomotic leak, post‐operative complications, operative time and length of hospital stay. Conclusion The incidence of anastomotic stricture was reduced with RRYGB compared with LRYGB over a minimum follow‐up period of 6 months, thus demonstrating the potential benefit of RRYGB. Copyright © 2011 John Wiley & Sons, Ltd.