Intelligent Surgery (Jan 2022)
Single-center experience of robot-assisted sleeve gastrectomy
Abstract
Background: The introduction of the robotic platform to bariatric surgery has brought forth a novel approach. The purpose of this research was to study the advantages and disadvantages of the combination modes of the robotic arm and laparoscopic instruments in robot-assisted sleeve gastrectomy (RASG). Methods: 9 The clinical data of 12 patients who underwent RASG in the first affiliated hospital of shandong first medical university from December 2019 to September 2020 were analyzed. According to the different combination modes of laparoscopic instruments and robotic arms, they were divided into two groups: the “4 + 1″ group (n = 6) and the “3 + 2” group (n = 6). Results: This study evaluated a total of 12 patients. There were no statistically significant differences in patient demographics characteristics and co-morbid disease. The mean operating time (125.3 ± 6.5min in 4 + 1 versus 127 ± 8.3min in 3 + 2, P = 0.601), length of hospital stay (6.3 ± 1.0 d in 4 + 1 versus 5.6 ± 1.9 d in 3 + 2, P = 0.221),intraoperative blood loss (31.6 ± 9.8 ml in 4 + 1 versus 28.3 ± 11.7 ml in 3 + 2, P = 0.713), hospital costs (72487.6 ± 1135.1 yuan in 4 + 1 versus 73433.8 ± 5301.5 yuan in 3 + 2, P = 0.12), excess Weight Loss (EWL)% at 1 month after operation (12.4 ± 1.9 in 4 + 1 versus 13.3 ± 2.4 in 3 + 2, P = 0.634)did not differ between the two groups. Conclusions: Two modes are both feasible and safe for RASG. The surgeon can choose one mode to perform the operation according to the situation of his team.
