First 30 Robotic Versus Last 30 Laparoscopic Sleeve Gastrectomy

摘要

Background: Robotic sleeve gastrectomy (RSG) is a new and popular option for obesity surgery. This study aims to analyze our experience during the transition period from laparoscopic sleeve gastrectomy (LSG) to RSG. Patients and Methods: Sixty patients with sleeve gastrectomy (SG) were enrolled into the study. Last 30 patients in the LSG group and first 30 patients in the RSG group were included in the study. Total operative time (OT), docking time, complications (intraoperative and postoperative), hospital stay, and amount of postoperative drainage were recorded and groups were compared. Results: There were no complications during surgery. There was no mortality or conversions to another approach in any patient. There were no leaks. Hospital stay, complication rates, and excess weight loss rates were similar in both groups. OT was longer in the RSG group. Postoperative drainage was lesser in the RSG group. Conclusion: RSG is safe and feasible and might be considered as an initial procedure for surgeons who plan to move forward to more complex procedures in bariatric surgery. For an experienced surgeon, the learning curve seems shorter for this procedure.