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Roux-en-Y gastric bypass for super obese patients: what approach? INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY Buchs, N. C., Azagury, D. E., Pugin, F., Jung, M. K., Huber, O., Chassot, G., Morel, P. 2016; 12 (2): 276-282

Abstract

Super obese (SO) patients with a Body Mass Index (BMI)?=?50?kg/m(2) still represent a real anesthesiological and surgical challenge. While the best procedure to perform in this population remains unclear, robotic technology has been proposed to accomplish Roux-en-Y gastric bypass (RYGB). The study aim is to report our experience of robotic RYGB for SO patients and to compare it with open and laparoscopic surgery.From July 1997 to March 2014, all consecutive RYGB cases for SO patients were collected in a dedicated database and reviewed retrospectively. Two hundred and fourteen SO patients were operated on: 65 by a robotic approach (30.4%), 54 by a laparoscopic approach (25.2%), and 95 using an open approach (44.4%). Peri- and post-operative data were compared between the three approaches.There were more male patients in the robotic group, but with a slightly lower BMI. The operative time was longer for the robotic (+27?min) and laparoscopic (+21?min) groups in comparison with the open group (P?

View details for DOI 10.1002/rcs.1660

View details for Web of Science ID 000384840500012

View details for PubMedID 25892087