Robot-assisted hybrid laparoscopic Roux-en-Y gastric bypass: surgical technique and early outcomes

J Laparoendosc Adv Surg Tech A. 2010 Dec;20(10):847-50. doi: 10.1089/lap.2010.0261.

Abstract

Background: Roux-en-Y gastric bypass performed laparoscopically remains the gold standard in bariatric surgery. The role of robot-assisted laparoscopic Roux-en-Y gastric bypass has not been clearly defined.

Methods: We present 80 consecutive cases of robot-assisted laparoscopic Roux-en-Y gastric bypass performed at a single institution. Mechanics, early outcomes, and learning curve are evaluated. Eighty robot-assisted laparoscopic Roux-en-Y gastric bypasses were performed on 71 women and 9 men with a mean age of 39 years, mean preoperative weight of 134 kg, and mean BMI of 48.

Results: Total mean operative time was 209 minutes. There was no mortality, leak, stricture, or obstruction.

Conclusion: Robot-assisted laparoscopic Roux-en-Y gastric bypass is a safe and feasible option for bariatric surgery. Its role in improving surgical outcomes needs to be defined further.

MeSH terms

  • Adult
  • Body Mass Index
  • Cohort Studies
  • Female
  • Gastric Bypass / methods*
  • Humans
  • Laparoscopy / methods*
  • Male
  • Middle Aged
  • Obesity, Morbid / surgery*
  • Robotics*
  • Time Factors
  • Treatment Outcome
  • Young Adult