Robotic assistance provides excellent outcomes during the learning curve for laparoscopic Roux-en-Y gastric bypass: results from 100 robotic-assisted gastric bypasses

Sherman C. Yu, Benjamin L. Clapp, Michael J. Lee, William C. Albrecht, Terry K. Scarborough, Erik B. Wilson

Research output: Contribution to journalArticle

68 Scopus citations

Abstract

Background: Laparoscopic Roux-en-Y gastric bypass (LRYGB) has a reported learning curve of 100 cases. Robotic-assisted surgery decreases the learning curve in complex laparoscopic surgeries. We hypothesize that robotic-assisted, hand-sewn gastrojejunostomy during a LRYGB will improve results during the initial 100 cases when compared with the literature. Methods: Our first 100 robotic-assisted gastrojejunostomies performed during LRYGB were reviewed from a prospective database. Patient demographics, operative times, length of stay, reoperations, anastomotic leak, pulmonary embolus, and death were all evaluated. Results: The mean age and body mass index were 42 and 50, respectively. Operative times ranged from 148 minutes to 437 minutes (mean = 254). There were no leaks or deaths. Four patients had complications, including reoperation (1), incisional hernia (1), pulmonary embolus (1), and recurrent umbilical hernia (1). Conclusions: Robotic-assisted LRYGB is feasible and safe, as evidenced by the excellent outcomes from this series during the initial learning curve for LRYGB.

Original languageEnglish (US)
Pages (from-to)746-749
Number of pages4
JournalAmerican journal of surgery
Volume192
Issue number6
DOIs
StatePublished - Dec 1 2006

Keywords

  • Gastric bypass
  • Learning curve
  • Outcomes
  • Robotic surgery

ASJC Scopus subject areas

  • Surgery

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