Global Bariatric Surgery by Rami Lutfi & Mariano Palermo & Guy-Bernard Cadière

Author:Rami Lutfi & Mariano Palermo & Guy-Bernard Cadière
Language: eng
Format: epub
ISBN: 9783319935454
Publisher: Springer International Publishing

Pros and Cons

Robotics and Adjustable Gastric Bands

Adjustable gastric band (AGB) placement is technically the simplest of all laparoscopic bariatric surgical procedures, requiring minimal dissection, tissue manipulation, and suturing. The procedure is often performed in the outpatient setting. However, its use has decreased substantially because of inferior excess weight loss and complications, including slips, erosions, and revision. The first robotic bariatric procedure performed was placement of a gastric band [9], but the literature has failed to note any significant benefits in performing this procedure robotically. Published series have demonstrated increased operative times and costs when compared to laparoscopy [10]. There may be a role in decreasing operative times in patients with very high body mass index (BMI), with one series demonstrating decreased times as compared to laparoscopy in patients with a BMI>50 [11]. From our personal experience, the robotic platform is probably most valuable in revising patients with previous laparoscopic AGB placement to other operations.

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