PDF(Pubmed)
Abstract：
This article examines the evolution of bariatric surgery, with a focus on emerging technologies such as robotics and laparoscopy. In the case of gastric bypass, no significant differences have emerged between the two techniques in terms of hospitalization duration, weight loss, weight regain, or 30-day mortality. Robotic surgery, while requiring more time in the operating room, has been associated with lower rates of bleeding, mortality, transfusions, and infections. In revisional bariatric surgery, the robotic approach has shown fewer complications, shorter hospital stays, and a reduced need for conversion to open surgery. In the case of sleeve gastrectomy, robotic procedures have required more time and longer postoperative stays but have recorded lower rates of transfusions and bleeding compared to laparoscopy. However, robotic surgeries have proven to be more costly and potentially more complex in terms of postoperative complications. The review has also addressed the topic of the single-anastomosis duodeno-ileal switch (SADIS), finding comparable results between robotic and laparoscopic techniques, although robotic procedures have required more time in the operating room. Robotic technology has proven to be safe and effective, albeit with slightly longer operative times in some cases.
摘要：
这篇文章探讨了减肥手术的演变，专注于新兴技术，如机器人和腹腔镜检查。在胃旁路手术的情况下，两种技术在住院时间方面没有显着差异，减肥,体重恢复,或30天死亡率。机器人手术,虽然在手术室需要更多的时间，与较低的出血率有关，死亡率,输血,和感染。在修订减肥手术中，机器人方法显示出更少的并发症，缩短住院时间,和减少需要转换为开放手术。在袖状胃切除术的情况下，与腹腔镜检查相比,机器人手术需要更多的时间和更长的术后住院时间,但输血和出血率较低.然而,事实证明，机器人手术成本更高，术后并发症可能更复杂。该评论还讨论了单吻合十二指肠回肠转换（SADIS）的主题，在机器人和腹腔镜技术之间找到可比的结果，虽然机器人程序需要更多的时间在手术室。机器人技术已被证明是安全有效的,尽管在某些情况下手术时间稍长。
