Single-center experience of robot-assisted sleeve gastrectomy

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...

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Main Authors: Jiang Zhengchen, Zhu Jiankang, Zhong Mingwei, Dong Shuohui, Li Linchuan, Wang Shuo, Li Songhan, Zhang Guangyong, Hu Sanyuan
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2022-01-01
Series:Intelligent Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666676621000028
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author Jiang Zhengchen
Zhu Jiankang
Zhong Mingwei
Dong Shuohui
Li Linchuan
Wang Shuo
Li Songhan
Zhang Guangyong
Hu Sanyuan
author_facet Jiang Zhengchen
Zhu Jiankang
Zhong Mingwei
Dong Shuohui
Li Linchuan
Wang Shuo
Li Songhan
Zhang Guangyong
Hu Sanyuan
author_sort Jiang Zhengchen
collection DOAJ
description 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.
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spelling doaj.art-b5b01f04be994671acd946253ad885a22022-12-22T03:52:57ZengKeAi Communications Co., Ltd.Intelligent Surgery2666-67662022-01-01137Single-center experience of robot-assisted sleeve gastrectomyJiang Zhengchen0Zhu Jiankang1Zhong Mingwei2Dong Shuohui3Li Linchuan4Wang Shuo5Li Songhan6Zhang Guangyong7Hu Sanyuan8Department of General Surgery, Shandong Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, ChinaDepartment of General Surgery, The First Affiliated Hospital of Shandong First Medical University, ChinaDepartment of General Surgery, The First Affiliated Hospital of Shandong First Medical University, ChinaDepartment of General Surgery, Shandong Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, ChinaDepartment of General Surgery, Shandong Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, ChinaDepartment of General Surgery, Shandong Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, ChinaDepartment of General Surgery, Shandong Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, ChinaDepartment of General Surgery, Shandong Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, China; Department of General Surgery, The First Affiliated Hospital of Shandong First Medical University, ChinaDepartment of General Surgery, Shandong Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, China; Department of General Surgery, The First Affiliated Hospital of Shandong First Medical University, China; Corresponding author. Department of General Surgery, Shandong Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, China.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.http://www.sciencedirect.com/science/article/pii/S2666676621000028RoboticSleeve gastrectomyGastricBariatricSurgery
spellingShingle Jiang Zhengchen
Zhu Jiankang
Zhong Mingwei
Dong Shuohui
Li Linchuan
Wang Shuo
Li Songhan
Zhang Guangyong
Hu Sanyuan
Single-center experience of robot-assisted sleeve gastrectomy
Intelligent Surgery
Robotic
Sleeve gastrectomy
Gastric
Bariatric
Surgery
title Single-center experience of robot-assisted sleeve gastrectomy
title_full Single-center experience of robot-assisted sleeve gastrectomy
title_fullStr Single-center experience of robot-assisted sleeve gastrectomy
title_full_unstemmed Single-center experience of robot-assisted sleeve gastrectomy
title_short Single-center experience of robot-assisted sleeve gastrectomy
title_sort single center experience of robot assisted sleeve gastrectomy
topic Robotic
Sleeve gastrectomy
Gastric
Bariatric
Surgery
url http://www.sciencedirect.com/science/article/pii/S2666676621000028
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