Two new research introduced as we speak on the American Society for Metabolic and Bariatric Surgical procedure (ASMBS) 2024 Annual Scientific Assembly counsel that whole robotic metabolic and bariatric surgical procedure might end in shorter operative instances, lowered lengths of keep and decrease problems in comparison with laparoscopic approaches.
In a single research, researchers from AdventHealth in Celebration, FL examined the outcomes of a single surgeon who carried out 809 metabolic and bariatric operations—498 completely robotic and 311 laparoscopic—between 2020 and 2023. They discovered that whole robotic Roux-en-Y gastric bypass (RYGB) resulted in considerably shorter operative instances (97.6 min. vs. 115.4 min), lowered hospitalization (1.19 days vs. 1.39 days), and decrease complication charges (1.7% vs. 5.1%) in comparison with typical laparoscopy.
Whole robotic sleeve gastrectomy procedures produced comparable advantages—much less operative time (47.4 min. vs. 53.1 min.), shorter size of keep (1.14 days vs. 1.30 days), and fewer problems (0.8% vs. 3.2%). The surgical strategy to a duodenal change didn’t affect operative instances and complication charges, however the whole robotic strategy did end in shorter lengths of keep.
This research comes after latest meta-analyses and registry stories discovered that metabolic and bariatric surgical procedure carried out robotically had comparable outcomes to traditional laparoscopy however with longer operative instances and better prices. The researchers be aware, nonetheless, that many of the robotic surgical procedures in these stories had been robot-assisted relatively than completely robotic.
In a second research, these identical researchers report improved outcomes and efficiencies for robotic procedures involving sufferers, this time with extreme weight problems and kind 2 diabetes. A complete of 744 sufferers acquired both completely robotic (n = 469) or laparoscopic RYGB or sleeve gastrectomy (n = 275). Main complication charges for sufferers with diabetes (2.4% vs. 8.3%), size of keep (1.19 days vs. 1.48 days) and operative instances (71.7 min. vs. 90.5 min.) had been all decrease in comparison with laparoscopy and had been corresponding to charges seen with sufferers with no diabetes. The common preoperative BMI was 46.1.
“The robotic platform has benefits for sufferers with diabetes and excessive surgical danger,” mentioned research co-author on each research, Cynthia Buffington, Ph.D., researcher at AdventHealth. “Surgeons might obtain the next stage of precision, flexibility and management than is feasible with typical laparoscopy. This ends in much less tissue trauma, shorter restoration instances, much less alternative for scarring, milder postoperative ache, and decrease danger for infections and bleeds.”
The ASMBS stories that in 2022 almost 280,000 metabolic and bariatric procedures had been carried out within the U.S., which represents solely about 1% of those that meet eligibility necessities based mostly on BMI. Whereas the ASMBS doesn’t observe the variety of robotic surgical procedures carried out annually, all these procedures are on the rise.
“Whole robotic surgical procedure is taking part in an rising position in metabolic and bariatric surgical procedure bringing new efficiencies and fewer problems for sure procedures and sufferers,” mentioned Ann Rogers, MD, ASMBS President-elect and Director, Penn State Surgical Weight Loss Program, Penn State Well being, Hershey, PA, who was not concerned within the research.
In line with the U.S. Facilities for Illness Management and Prevention (CDC), weight problems impacts 42.4% of Individuals. Research present the illness can weaken or impair the physique’s immune system and trigger persistent irritation and improve the danger of many different illnesses and situations together with heart problems, stroke, kind 2 diabetes, and sure cancers.
Extra data:
A202—Improved Surgical Outcomes of Roux-en-Y Gastric Bypass (RYGB), Sleeve Gastrectomy (SG), and Duodenal Change (DS) Carried out Completely Robotic Versus Laparoscopic
A315—The Benefits of Completely Robotic (TR) Metabolic Bariatric Surgical procedure (MBS) on Surgical Outcomes of Sufferers with Sort 2 Diabetes
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American Society for Metabolic and Bariatric Surgical procedure
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New research counsel advantage of whole robotic metabolic and bariatric surgical procedure over typical laparoscopy (2024, June 11)
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