Robotic versus Laparoscopic Sleeve Gastrectomy Outcomes: A Systematic Review and Meta-analyses
Keywords:
Laparoscopy, Sleeve GastrectomyAbstract
BACKGROUND: Among the various bariatric procedures, sleeve gastrectomy is a highly effective intervention for achieving significant and sustained weight loss in morbidly obese patients. In recent years, advancements in surgical techniques have introduced robotic-assisted procedures alongside traditional laparoscopic methods, promising improved precision and outcomes. This meta-analysis was conducted to assess the operative outcomes and complications of these two techniques.
METHODS: We systematically searched PubMed, Embase, Web of Science, and Cochrane, including systematic reviews, meta-analyses of randomized controlled trials, cohort studies, and case-control studies comparing robotic surgery with laparoscopic procedures in patients located in England, Italy, Japan, USA and Germany.
RESULTS: 9 studies with 1, 203, 901 adult patients were included in this systematic review and meta-analysis. Overall complications of the laparoscopic group were 1.94 [1.82, 2.06] (P < 0.00001). The operative time were significantly less in time in the laparoscopic group 28.28 [19.74, 36.82] (P < 0.00001).
CONCLUSION: This meta-analysis indicates that laparoscopic sleeve gastrectomy is associated with a lower complication rate as well as a shorter operation time.
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References
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