Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Advancements in Bariatric Surgery: A Comparative Review of Laparoscopic and Robotic Techniques

Version 1 : Received: 29 November 2023 / Approved: 30 November 2023 / Online: 30 November 2023 (10:41:34 CET)

A peer-reviewed article of this Preprint also exists.

Velardi, A.M.; Anoldo, P.; Nigro, S.; Navarra, G. Advancements in Bariatric Surgery: A Comparative Review of Laparoscopic and Robotic Techniques. J. Pers. Med. 2024, 14, 151. Velardi, A.M.; Anoldo, P.; Nigro, S.; Navarra, G. Advancements in Bariatric Surgery: A Comparative Review of Laparoscopic and Robotic Techniques. J. Pers. Med. 2024, 14, 151.

Abstract

This article examines the evolution of bariatric surgery, with a focus on emerging technologies such as robotics and laparoscopy. In the case of gastric bypass, no significant differences have emerged between the two techniques in terms of hospitalization duration, weight loss, weight regain, or 30-day mortality. Robotic surgery, while requiring more time in the operating room, has been associated with lower rates of bleeding, mortality, transfusions, and infections. In revisional bariatric surgery, the robotic approach has shown fewer complications, shorter hospital stays, and a reduced need for conversion to open surgery. In the case of sleeve gastrectomy, robotic procedures have required more time and longer post-operative stays but have recorded lower rates of transfusions and bleeding compared to laparoscopy. However, robotic surgeries have proven to be more costly and potentially more complex in terms of post-operative complications. The review has also addressed the topic of the single anastomosis duodeno-ileal switch (SADIS), finding comparable results between robotic and laparoscopic techniques, although robotic procedures have required more time in the operating room. Robotic technology has proven to be safe and effective, albeit with slightly longer operating times in some cases.

Keywords

Surgical robotics; Laparoscopy Bariatric; Bariatric techniques; Surgical complications; Bariatric revision; Obesity and comorbidities

Subject

Medicine and Pharmacology, Surgery

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