SciELO - Scientific Electronic Library Online

 
vol.70 issue3Evolution of short-term symptoms and degree of patient satisfaction after conventional hemorrhoidectomyMy first 100 free flaps author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista chilena de cirugía

On-line version ISSN 0718-4026

Abstract

HAMILTON S., James; ONETTO C., Camila; ORELLANA E., Omar  and  MARIN P., Pablo. Initial experience with robotic assisted revisional bariatric surgery. Rev Chil Cir [online]. 2018, vol.70, n.3, pp.241-244. ISSN 0718-4026.  http://dx.doi.org/10.4067/s0718-40262018000300241.

Background

Robotics in bariatric surgery is a novel development in medical institutions in Chile. Revisional bariatric procedures have increased during the last years. There are no publications in our country related to the initial experience and results in robotic revisional bariatric surgery. The aim of this study is to describe the initial experience and short term outcomes with robotic revisional bariatric surgery.

Study Design

We conducted a retrospective study of all consecutive robotic revisional bariatric surgeries performed by a single surgeon in Clínica Santa María in Santiago, Chile. We analyzed demographic characteristics and surgical outcomes, morbidity, mortality and length of hospital stay.

Results

59 revisional bariatric surgeries were performed, 11 reshaping of sleeve gastrectomy, 34 Roux in Y gastric bypass, 1 pouch reshaping of Roux in Y gastric bypass, 3 extractions of laparoscopic adjustable gastric banding, 1 of them with simultaneous sleeve gastrectomy, 5 laparoscopic adjustable gastric banding to patients with previous Roux in Y gastric bypass, 3 total gastrectomy, 1 resection of gastro-gastric fistula and 1 gastro enteral anastomosis. Mean age was 47.8 years. Average preoperative body mass index was 33.86 kg/m2. Mean surgical time was 101.63 minutes. Postoperative complications were observed in 3 patients (5.08%). In 2 (3.39%) of this patient, reoperation was required. There were no deaths in this group. Average length of hospital stay was 3.6 days.

Conclusion

Robotic revisional bariatric surgery is a novel technique that appears to be safe and effective.

Keywords : robotic assisted surgery; revisional bariatric surgery; bariatric surgery.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )