• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • 2022 NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Blog
    • COVID-19
    • Notes from the Battlefield
    • A (Positive) Way Forward
    • President Posts
    • All Blog Posts
  • Log In

A Comparative Study of Robotic and Laparoscopic Gastric Bypass as a Treatment for Morbid Obesity

Anthony M Gonzalez, MD, FACS, FASMBS, Jorge R Rabaza, MD, FACS, FASMBS, Rupa Seetharamaiah, MD, FACS, Charan Donkor, MD, Rey Romero, MD, Radomir Kosanovic, MD, Jonathan Arad, MD

Baptist Health South Florida, Florida International University Herbert Wertheim College of Medicine

INTRODUCTION: The use of Minimally Invasive Surgery in the treatment of morbid obesity has gained popularity due to its apparent effectiveness, lower complication rates and patient satisfaction. For many years, laparoscopic gastric bypass has been the conventional method of choice due to its lower rate of complications (i.e. leaking, bleeding, strictures) when compared to the open approach (G. Banka et al Archives of Surgery 2012). The use of the daVinci robotic surgical system in bariatric surgery has seen increased popularity due to its numerous advantages, i.e. 3-D visualization, articulation of instruments and improved surgeon ergonomics . Until now, only a few small studies have been published contrasting the benefits and outcomes between robotic and laparoscopic gastric bypass surgeries. The purpose of this study is to compare our experiences between Robotic Gastric Bypass (RGB) and Laparoscopic Gastric Bypass (LGB) for the treatment of morbid obesity.

METHODS: We retrospectively collected, under IRB approval, RGB & LGB data from (08/2009-05/2012 & 09/2007-10/2009, respectively) that was performed by two surgeons at a single surgery center. All of the robotic procedures were completed using the daVinci® Surgical System. Follow up was achieved at 1-3, 4-6, 7-9, and >12 months after surgery. Information was collected focusing on surgical time, hospital length of stay, preoperative BMI, perioperative complications (abscess formation, leakage, strictures and bleeding), rate of internal hernia’s and Excess of Weight loss Percentage (EWL%).

RESULTS: This study included 165 RGB and 165 LGB patients. Mean age was 44.7(±13.3) and 41.4(±10.9) years old (P= 0.02) and mean initial BMI was 47.4(±9.8) and 48.4(±7.7) kg/m2 (P= 0.31), for RGB and LGB respectively. Mean surgical time in our RGB cohort was 140.7 compared to 102 min in our LGB cohort (P< 0.01) while the mean length of hospital stay was 2.6(±2.4) vs. 2.2(±1.2) days (P=0.08) respectively. Perioperative complications included: abscess formation was seen in no RGB and 2 LGB (P=0.2); strictures seen in 1 RGB and 1 LGB (P= 0.02); bleeding seen in 3 RGB and 5 LGB (P= 0.08) and no leaks were noted in either cohort. Additionally, an incisional hernia was found in 1 RGB and none in LGB (P=0.3). Postoperative follow up in both groups (RGB vs. LGB) was conducted at 1-3, 4-6, 7-9 and >12 months showing an EWL% of 25.1% vs. 22.6%, 46.5% vs. 46.1%, 57.6% vs. 62.1% and 68.9% vs. 67% respectively.

CONCLUSIONS: Our study exhibited that RGB is a safe procedure when used for weight loss in bariatric surgery, showing comparable weight loss results as those seen with the laparoscopic approach, with the progression toward lower complication rates of bleeding and abscess formation. Further studies with larger numbers and randomization are needed.


Session: Poster Presentation

Program Number: P425

161

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2013 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons