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

SAGES

Society of American Gastrointestinal and Endoscopic Surgeons

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Mentors
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Mission Statement
    • SAGES Resource Guide
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Young Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • The Brandeis
      • Advocacy Summit Award
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • SAGES 2019 Meeting Information
    • 2019 Scientific Session Call For Abstracts
    • 2019 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Join SAGES!
    • Give the Gift of SAGES Membership
    • Membership Benefits
    • Active Membership
    • Allied Health Membership
    • Associate Active Membership
    • Candidate Membership
    • International Membership
    • Medical Student Membership
  • For Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Find a SAGES Member
  • Publications
    • 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
    • Troubleshooting Guides
  • Education
    • The Safe Cholecystectomy Didactic Modules
    • Masters Series
      • SAGES Masters Program Facebook Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • The SAGES Safe Cholecystectomy Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Course
    • MIS Fellows Course
    • Free Educational Webinars
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES.TV Video Library
    • SAGES Surgical WIKI
    • iMAGES Image Library
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • 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 the Video Library
  • Log In

Robotic Vs. Conventional Laparoscopic Gastric Banding: A Comparison of 407 Cases

INTRODUCTION: The current indications and rationale for using a robotic technique in bariatric surgery, specifically gastric banding, remain unclear. The objective of this study was to quantify the safety and potential benefits of this novel technology in the context of both patient and surgeon outcomes as compared to the conventional laparoscopic approach.

METHODS AND PROCEDURES: A retrospective database of obese patients undergoing laparoscopic gastric banding (LGB) between December 2006 and June 2009 was examined. During this period 407 consecutive patients underwent LGB: 287 robotically and 120 conventionally. The procedures were performed by two primary surgeons in a teaching hospital setting. The conventional laparoscopic approach had been practiced since 2004, and the robotic approach had been practiced since 2006. Patient demographics, operative complications, operating times, and clinical outcomes were examined.

RESULTS: The patients in the robotic and conventional cohorts did not vary significantly in demographic composition. The robotic cohort had a mean age of 47 ± 25 years, was 230/287 (80.1%) female and 57/287 (19.9%) male and had a mean pre-operative Body Mass Index (BMI) of 45.4 kg/m². The conventional cohort had a mean age of 45 ± 24 years, was 89/120 (74.2%) female and 31/120 (25.8%) male, and had a mean pre-operative BMI of 45.1 kg/m². The prevalence of pre-operative co-morbidities was similar between the two groups: hypertension was 56% and 67%, hypercholesterolemia was 29% and 33%, sleep apnea was 54% and 52%, diabetes mellitus was 28% and 33%, and osteoarthritis was 41% and 29% in the robotic and conventional cohorts respectively. The rates of intra-operative and post-operative complications did not differ significantly between the two approaches (Table 1). The length of post-operative hospital stay did not differ significantly between the two approaches (1.3 ± 2.7 days for both approaches). The operating time from incision to wound closure did not differ significantly between the two approaches (91.5 minutes vs. 92.1 minutes robotic and conventional respectively). However, for patients with a pre-operative BMI of ≥ 50 kg/m² (N = 89: 64 robotic, 25 conventional), the operating time is significantly lower using the robotic approach (91.3 ± 63.7 minutes, SD = 19.7 vs. 101.3 ± 49.7 minutes, SD = 23.7; p=0.04).

CONCLUSIONS: In this series, robotic and conventional approaches were similar in intra-operative or post-operative complication rates, operating time, and length of post-op hospital stay. However, for patients with a pre-operative BMI of ≥ 50 kg/m², the operating time is significantly lower using the robotic approach despite the adoption of the new technique. These data suggest that the robotic approach is at least as safe as conventional laparoscopic approach, and that robotic approach should be considered for gastric banding candidates with BMI ≥ 50 kg/m².

Table 1: Complications of robotic vs. conventional approaches

ComplicationRobot (N=287)Conventional (N=119)
Conversion to open01
Reoperation: Band removal or replacement93
Port removal or replacement22
Band slippage83
GIcomplaints not resulting in admission2810

Session: Podium Presentation

Program Number: S054

Post Views: 17

Share this:

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

Related

« Return to SAGES 2010 abstract archive

Recently, on SAGES…

Robotic Surgery

Spotlight: Robotics Committee

In the most recent issue of SCOPE, SAGES President Dr. Jeffrey Marks shared his desire to highlight the hard work of the many SAGES committees. As the Society strives to fully realize the new SAGES University Masters Program, the initial focus will be on the affiliated pathway committees and task forces. This is the third […]

Mastering the Art of Surgery – Annual Meeting Press Release

Mastering the Art of Surgery At the 16th World Congress of Endoscopic Surgery and 2018 SAGES Meeting April 11th–14th in Seattle, WA The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) will kick off its 2018 Annual Meeting as part of the 16th World Congress of Endoscopic Surgery. Hosted by SAGES and CAGS (Canadian Association […]

Complete the SAGES Video Based Assessment Survey for a Chance to Win!

https://survey.az1.qualtrics.com/jfe/form/SV_5pCM9JWvDBphkjj Who Can Enter Open to any surgeon who is either a member of SAGES or an attendee at the 2018 SAGES Annual Meeting AND who completes the 2018 SAGES Video Based Assessment Online Survey at the link above. Drawing Entry Period The drawing period is from survey launch on April 6, 2018 to 11:59pm […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2019 Meeting Information

Online Registration coming in Fall 2018

Healthy Sooner: Patient Information

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

· Log in

Copyright © 2019 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc