PMID- 38098353
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231221
IS  - 2234-5248 (Electronic)
IS  - 2234-778X (Print)
VI  - 26
IP  - 4
DP  - 2023 Dec 15
TI  - Robotic versus laparoscopic revisional bariatric surgeries: a systematic review 
      and meta-analysis.
PG  - 198-207
LID - 10.7602/jmis.2023.26.4.198 [doi]
AB  - PURPOSE: In recent years, the need for revisional bariatric surgery (RBS) 
      procedures has experienced a noteworthy surge to confront complexities and weight 
      recidivism. Despite being a subject of controversy for many, the utilization of 
      the Da Vinci robotic platform (Intuitive Surgical, Inc.) may present benefits in 
      RBS. This study aimed to evaluate the outcomes of robotic RBS in comparison to 
      Laparoscopic RBS. METHODS: A meticulous and thorough analysis was ensured through 
      a comprehensive exploration of the literature, which included PubMed, Medline, 
      Scopus, and Cochrane. This exploration was conducted in adherence to the 
      directives outlined in the PRISMA (Preferred Reporting Items for Systematic 
      Reviews and Meta-Analyses) guidelines. The Newcastle-Ottawa scale was used for 
      quality assessment. RESULTS: A total of 11 studies were included in this 
      meta-analysis, comprising 55,889 in the laparoscopic group and 5,809 in the 
      robotic group. No significant differences were observed in the leak, bleeding, 
      operative time, or length of stay across both groups. However, the robotic group 
      showed higher rates of conversion to open surgery (odds ratio [OR], 0.65; 95% 
      confidence interval [CI], 0.53-0.79; p < 0.0001; I(2) = 0%), reoperation (OR, 
      0.70; 95% CI, 0.57-0.87; p = 0.0009; I(2) = 6%), and readmission (higher rate of 
      readmission in the robotic group; OR, 0.76; 95% CI, 0.62-0.92; p = 0.005; I(2) = 
      30%). CONCLUSION: Robotic-assisted bariatric surgery has no significant advantage 
      over conventional laparoscopic surgery. Further research is warranted to explore 
      and evaluate surgeons' methodology and proficiency differences.
FAU - Ataya, Karim
AU  - Ataya K
AUID- ORCID: 0000-0002-9235-5313
AD  - Department of Bariatric Surgery, King's College Hospital, London, UK.
FAU - El Bourji, Hussein
AU  - El Bourji H
AUID- ORCID: 0009-0003-2437-965X
AD  - Department of General Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
FAU - Bsat, Ayman
AU  - Bsat A
AUID- ORCID: 0000-0001-5200-6111
AD  - Department of General Surgery, American University of Beirut, Beirut, Lebanon.
FAU - Al Ayoubi, Amir
AU  - Al Ayoubi A
AD  - Department of General Surgery, Lebanese University, Beirut, Lebanon.
FAU - Al Jaafreh, Al Moutuz
AU  - Al Jaafreh AM
AUID- ORCID: 0000-0003-0345-369X
AD  - Department of Bariatric Surgery, King's College Hospital, London, UK.
FAU - Abi Saad, George
AU  - Abi Saad G
AD  - Department of General Surgery, American University of Beirut, Beirut, Lebanon.
LA  - eng
PT  - Journal Article
PL  - Korea (South)
TA  - J Minim Invasive Surg
JT  - Journal of minimally invasive surgery
JID - 101585410
PMC - PMC10728689
OTO - NOTNLM
OT  - Bariatric surgery
OT  - Laparoscopic surgery
OT  - Obesity
OT  - Revisional surgery
OT  - Robotic surgical procedures
COIS- Conflict of interest All authors have no conflicts of interest to declare.
EDAT- 2023/12/15 06:42
MHDA- 2023/12/15 06:43
PMCR- 2023/12/15
CRDT- 2023/12/15 03:10
PHST- 2023/08/21 00:00 [received]
PHST- 2023/11/06 00:00 [revised]
PHST- 2023/12/02 00:00 [accepted]
PHST- 2023/12/15 06:43 [medline]
PHST- 2023/12/15 06:42 [pubmed]
PHST- 2023/12/15 03:10 [entrez]
PHST- 2023/12/15 00:00 [pmc-release]
AID - jmis.2023.26.4.198 [pii]
AID - jmis-26-4-198 [pii]
AID - 10.7602/jmis.2023.26.4.198 [doi]
PST - ppublish
SO  - J Minim Invasive Surg. 2023 Dec 15;26(4):198-207. doi: 
      10.7602/jmis.2023.26.4.198.