Robotic assistance provides excellent outcomes during the learning curve for laparoscopic Roux-en-Y gastric bypass: results from 100 robotic-assisted gastric bypasses

摘要: Abstract Background Laparoscopic Roux-en-Y gastric bypass (LRYGB) has a reported learning curve of 100 cases. Robotic-assisted surgery decreases the in complex laparoscopic surgeries. We hypothesize that robotic-assisted, hand-sewn gastrojejunostomy during LRYGB will improve results initial cases when compared with literature. Methods Our first robotic-assisted gastrojejunostomies performed were reviewed from prospective database. Patient demographics, operative times, length stay, reoperations, anastomotic leak, pulmonary embolus, and death all evaluated. Results The mean age body mass index 42 50, respectively. Operative times ranged 148 minutes to 437 (mean = 254). There no leaks or deaths. Four patients had complications, including reoperation (1), incisional hernia embolus recurrent umbilical (1). Conclusions is feasible safe, as evidenced by excellent outcomes this series for LRYGB.