Application of da Vinci surgical robot in metabolic surgery for weight loss_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Mingxue ,  LIU Chang , LIU Changxu

The Third Department of General Surgery, The Fourth Affiliated Hospital of Harbin Medical University, Harbin 150001, P. R. China;

Corresponding?author：

LIU Chang, Email: changliu72@163.com

Keywords：

obesity; da Vinci surgical robot; weight loss surgery

DOI：

10.7507/1007-9424.202103068

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To understand the present situation and effect of da Vinci robot in the treatment of obesity.Method The literatures about the application of da Vinci surgical robot in metabolic surgery for weight loss were reviewed.Results da Vinci surgical robot was a minimally invasive surgical system in recent years. Because of its unique structure, it broke through the limitations of traditional laparoscopic surgery, such as lack of field of vision, two-dimensional imaging, unstable lens, limited range of movement, and so on. It provided a solution way for metabolic surgery for weight loss with narrow operation space and high technical difficulty. At present, there were differences in operation time and postoperative complications between da Vinci surgical robot and laparoscopic weight loss.Conclusions In recent years, da Vinci surgical robot has been widely used in metabolic surgery for weight loss. It not only overcomes many limitations of laparoscopic assisted weight loss surgery, but also it is safe, feasible, and has a similar clinical effect. It provides a new choice for metabolic surgery for weight loss.

Citation： LIU Mingxue, LIU Chang, LIU Changxu. Application of da Vinci surgical robot in metabolic surgery for weight loss. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(1): 130-134. doi: 10.7507/1007-9424.202103068 Copy

1.	NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1 698 population-based measurement studies with 19.2 million participants. Lancet, 2016, 387(10026): 1377-1396.
2.	Alamuddin N, Bakizada Z, Wadden TA. Management of obesity. J Clin Oncol, 2016, 34(35): 4295-4305.
3.	Cadiere GB, Himpens J, Vertruyen M, et al. The world’s first obesity surgery performed by a surgeon at a distance. Obes Surg, 1999, 9(2): 206-209.
4.	盧笛. 達芬奇機器人XI原理及初期使用要點. 中國醫學裝備協會. 中國醫學裝備大會暨2020醫學裝備展覽會論文匯編. 北京: 中國醫學裝備協會: 《中國醫學裝備》雜志社, 2020: 2.
5.	Corrado G, Chiantera V, Fanfani F, et al. Robotic hysterectomy in severely obese patients with endometrial cancer: a multicenter study. J Minim Invasive Gynecol, 2016, 23(1): 94-100.
6.	董海燕, 竇磊, 龐曉燕, 等. 機器人手術與腹腔鏡手術對外科醫生影響的比較. 機器人外科學雜志(中英文), 2020, 1(3): 195-201.
7.	王海伶, 張玲. 新應用領域的機器人醫療外科機器人研究. 電腦編程技巧與維護, 2021, (2): 123-124, 143.
8.	趙之明. 達芬奇機器人在肝膽胰外科手術中的應用與前景. 臨床肝膽病雜志, 2020, 36(12): 2659-2662.
9.	劉升平, 朱利勇, 李鵬洲, 等. 達芬奇機器人手術系統輔助Roux-en-Y胃旁路術治療2型糖尿病一例(附視頻). 中華肥胖與代謝病電子雜志, 2016, 2(1): 53-55.
10.	李淑婷, 尹星琪, 趙冬, 等. 減重代謝手術的減重機制研究進展. 中國臨床醫生雜志, 2021, 49(3): 273-275.
11.	張鵬. 膽胰分流并十二指腸轉位術治療胃袖狀切除術后復胖個案報告并文獻復習. 腹腔鏡外科雜志, 2020, 25(3): 175-179.
12.	膽胰轉流十二指腸轉位術及其復合手術是否適合我國肥胖糖尿病病人. 中國實用外科雜志, 2020, 40(4): 413-414.
13.	吳安健, 劉兢文, 公鳳霞, 等. 腹腔鏡可調節胃束帶折疊術治療肥胖療效觀察. 解放軍醫學院學報, 2018, 39(4): 303-307.
14.	Mellert LT, Cheung M, Berbiglia L, et al. Reoperations for long-term complications following laparoscopic adjustable gastric banding: analysis of incidence and causality. Cureus, 2020, 12(5): e8127.
15.	中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會, 中國成人教育協會醫學繼續教育專業委員會肥胖代謝委員會. 腹腔鏡Roux-en-Y胃旁路術規范化手術操作指南(2019版). 中華肥胖與代謝病電子雜志, 2019, 5(2): 63-69.
16.	Horgan S, Vanuno D. Robots in laparoscopic surgery. J Laparoendosc Adv Surg Tech A, 2001, 11(6): 415-419.
17.	Mohr CJ, Nadzam GS, Alami RS, et al. Totally robotic laparoscopic Roux-en-Y gastric bypass: results from 75 patients. Obes Surg, 2006, 16(6): 690-696.
18.	中國研究型醫院學會微創外科學專業委員會, 中國醫藥教育協會代謝病學專業委員會. 機器人輔助袖狀胃切除術操作指南(2020年版). 腹腔鏡外科雜志, 2021, 26(1): 1-6.
19.	Magouliotis DE, Tasiopoulou VS, Sioka E, et al. Robotic versus laparoscopic sleeve gastrectomy for morbid obesity: a systematic review and meta-analysis. Obes Surg, 2017, 27(1): 245-253.
20.	Runkel N, Brydniak R. Surgical treatment of metabolic syndrome. Visc Med, 2016, 32(5): 352-356.
21.	趙寧, 王國斌. 達芬奇機器人輔助下腹腔鏡袖狀胃切除術治療肥胖癥的早期療效研究. 武漢: 華中科技大學, 2019.
22.	胡帆, 馬丹丹, 張楊, 等. 達芬奇機器人手術系統袖狀胃切除術治療肥胖癥及其合并癥的臨床療效. 華南國防醫學雜志, 2019, 33(1): 1-4.
23.	Pajecki D, Dantas ACB, Tustumi F, et al. Sleeve Gastrectomy versus Roux-en-Y gastric bypass in the elderly: 1-year preliminary outcomes in a randomized trial (BASE Trial). Obes Surg, 2021, 31(6): 2359-2363.
24.	薛偉. 腹腔鏡單吻合口十二指腸轉位術用于重度肥胖癥患者短期療效顯著. 中華醫學信息導報, 2020, 35(2): 5.
25.	王倫, 李世星, 于洋, 等. 腹腔鏡單吻合口十二指腸轉位術治療重度肥胖癥的臨床療效. 中華消化外科雜志, 2019, 18(12): 1171-1177.
26.	中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會. 關于單吻合口十二指腸轉位手術(SADI-S/SIPS)的立場聲明. 中華肥胖與代謝病電子雜志, 2019, 5(4): 183-186.
27.	姜濤. 腹腔鏡胃袖狀切除聯合單吻合口十二指腸回腸旁路術治療肥胖癥及肥胖相關代謝病17例療效分析. 中國實用外科雜志, 2020, 40(4): 433-436.
28.	Dijkhorst PJ, Boerboom AB, Janssen IMC, et al. Failed sleeve gastrectomy: single anastomosis duodenoileal bypass or Roux-en-Y gastric bypass? A multicenter cohort study. Obes Surg, 2018, 28(12): 3834-3842.
29.	Nudotor RD, Prokopowicz G, Abbey EJ, et al. Comparative effectiveness of Roux-en Y gastric bypass versus vertical sleeve gastrectomy for sustained remission of type 2 diabetes mellitus. J Surg Res, 2021, 261: 407-416.
30.	Cottam A, Cottam D, Zaveri H, et al. An analysis of mid-term complications, weight loss, and type 2 diabetes resolution of stomach intestinal pylorus-sparing surgery (SIPS) versus Roux-en-Y gastric bypass (RYGB) with three-year follow-up. Obes Surg, 2018, 28(9): 2894-2902.
31.	Fazl Alizadeh R, Li S, Inaba CS, et al. Robotic versus laparoscopic sleeve gastrectomy: a MBSAQIP analysis. Surg Endosc, 2019, 33(3): 917-922.
32.	趙寧, 夏澤鋒, 王國斌, 等. 達芬奇機器人手術系統在袖狀胃切除術中的應用. 華中科技大學學報(醫學版), 2018, 47(5): 608-611, 632.
33.	Bonsanto MM, Metzner R, Aschoff A, et al. 3D ultrasound navigation in syrinx surgery—A feasibility study. Acta Neurochir (Wien), 2005, 147(5): 533-540.
34.	Pernar LIM, Robertson FC, Tavakkoli A, et al. An appraisal of the learning curve in robotic general surgery. Surg Endosc, 2017, 31(11): 4583-4596.
35.	Lo HC, Wu SM. Reappraisal learning curve of laparoscopic Roux-en Y gastric bypass: retrospective results of one hundred and eight cases from a low-volume unit. BMC Surg, 2021, 21(1): 86.
36.	Economopoulos KP, Theocharidis V, McKenzie TJ, et al. Robotic vs. laparoscopic Roux-en-Y gastric bypass: a systematic review and meta-analysis. Obes Surg, 2015, 25(11): 2180-2189.
37.	Sebastian R, Howell MH, Chang KH, et al. Robot-assisted versus laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy: a propensity score-matched comparative analysis using the 2015-2016 MBSAQIP database. Surg Endosc, 2019, 33(5): 1600-1612.
38.	張俊聰, 胡家萍. 機器人與腹腔鏡胃旁路手術治療肥胖癥近期療效對比的Meta分析. 南昌: 南昌大學, 2017.
39.	汪波, 馬丹丹, 鐘藍海, 等. 達芬奇機器人與腹腔鏡下袖狀胃切除術治療肥胖癥的療效比較. 華南國防醫學雜志, 2019, 33(10): 673-676, 707.

1. NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1 698 population-based measurement studies with 19.2 million participants. Lancet, 2016, 387(10026): 1377-1396.
2. Alamuddin N, Bakizada Z, Wadden TA. Management of obesity. J Clin Oncol, 2016, 34(35): 4295-4305.
3. Cadiere GB, Himpens J, Vertruyen M, et al. The world’s first obesity surgery performed by a surgeon at a distance. Obes Surg, 1999, 9(2): 206-209.
4. 盧笛. 達芬奇機器人XI原理及初期使用要點. 中國醫學裝備協會. 中國醫學裝備大會暨2020醫學裝備展覽會論文匯編. 北京: 中國醫學裝備協會: 《中國醫學裝備》雜志社, 2020: 2.
5. Corrado G, Chiantera V, Fanfani F, et al. Robotic hysterectomy in severely obese patients with endometrial cancer: a multicenter study. J Minim Invasive Gynecol, 2016, 23(1): 94-100.
6. 董海燕, 竇磊, 龐曉燕, 等. 機器人手術與腹腔鏡手術對外科醫生影響的比較. 機器人外科學雜志(中英文), 2020, 1(3): 195-201.
7. 王海伶, 張玲. 新應用領域的機器人醫療外科機器人研究. 電腦編程技巧與維護, 2021, (2): 123-124, 143.
8. 趙之明. 達芬奇機器人在肝膽胰外科手術中的應用與前景. 臨床肝膽病雜志, 2020, 36(12): 2659-2662.
9. 劉升平, 朱利勇, 李鵬洲, 等. 達芬奇機器人手術系統輔助Roux-en-Y胃旁路術治療2型糖尿病一例(附視頻). 中華肥胖與代謝病電子雜志, 2016, 2(1): 53-55.
10. 李淑婷, 尹星琪, 趙冬, 等. 減重代謝手術的減重機制研究進展. 中國臨床醫生雜志, 2021, 49(3): 273-275.
11. 張鵬. 膽胰分流并十二指腸轉位術治療胃袖狀切除術后復胖個案報告并文獻復習. 腹腔鏡外科雜志, 2020, 25(3): 175-179.
12. 膽胰轉流十二指腸轉位術及其復合手術是否適合我國肥胖糖尿病病人. 中國實用外科雜志, 2020, 40(4): 413-414.
13. 吳安健, 劉兢文, 公鳳霞, 等. 腹腔鏡可調節胃束帶折疊術治療肥胖療效觀察. 解放軍醫學院學報, 2018, 39(4): 303-307.
14. Mellert LT, Cheung M, Berbiglia L, et al. Reoperations for long-term complications following laparoscopic adjustable gastric banding: analysis of incidence and causality. Cureus, 2020, 12(5): e8127.
15. 中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會, 中國成人教育協會醫學繼續教育專業委員會肥胖代謝委員會. 腹腔鏡Roux-en-Y胃旁路術規范化手術操作指南(2019版). 中華肥胖與代謝病電子雜志, 2019, 5(2): 63-69.
16. Horgan S, Vanuno D. Robots in laparoscopic surgery. J Laparoendosc Adv Surg Tech A, 2001, 11(6): 415-419.
17. Mohr CJ, Nadzam GS, Alami RS, et al. Totally robotic laparoscopic Roux-en-Y gastric bypass: results from 75 patients. Obes Surg, 2006, 16(6): 690-696.
18. 中國研究型醫院學會微創外科學專業委員會, 中國醫藥教育協會代謝病學專業委員會. 機器人輔助袖狀胃切除術操作指南(2020年版). 腹腔鏡外科雜志, 2021, 26(1): 1-6.
19. Magouliotis DE, Tasiopoulou VS, Sioka E, et al. Robotic versus laparoscopic sleeve gastrectomy for morbid obesity: a systematic review and meta-analysis. Obes Surg, 2017, 27(1): 245-253.
20. Runkel N, Brydniak R. Surgical treatment of metabolic syndrome. Visc Med, 2016, 32(5): 352-356.
21. 趙寧, 王國斌. 達芬奇機器人輔助下腹腔鏡袖狀胃切除術治療肥胖癥的早期療效研究. 武漢: 華中科技大學, 2019.
22. 胡帆, 馬丹丹, 張楊, 等. 達芬奇機器人手術系統袖狀胃切除術治療肥胖癥及其合并癥的臨床療效. 華南國防醫學雜志, 2019, 33(1): 1-4.
23. Pajecki D, Dantas ACB, Tustumi F, et al. Sleeve Gastrectomy versus Roux-en-Y gastric bypass in the elderly: 1-year preliminary outcomes in a randomized trial (BASE Trial). Obes Surg, 2021, 31(6): 2359-2363.
24. 薛偉. 腹腔鏡單吻合口十二指腸轉位術用于重度肥胖癥患者短期療效顯著. 中華醫學信息導報, 2020, 35(2): 5.
25. 王倫, 李世星, 于洋, 等. 腹腔鏡單吻合口十二指腸轉位術治療重度肥胖癥的臨床療效. 中華消化外科雜志, 2019, 18(12): 1171-1177.
26. 中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會. 關于單吻合口十二指腸轉位手術(SADI-S/SIPS)的立場聲明. 中華肥胖與代謝病電子雜志, 2019, 5(4): 183-186.
27. 姜濤. 腹腔鏡胃袖狀切除聯合單吻合口十二指腸回腸旁路術治療肥胖癥及肥胖相關代謝病17例療效分析. 中國實用外科雜志, 2020, 40(4): 433-436.
28. Dijkhorst PJ, Boerboom AB, Janssen IMC, et al. Failed sleeve gastrectomy: single anastomosis duodenoileal bypass or Roux-en-Y gastric bypass? A multicenter cohort study. Obes Surg, 2018, 28(12): 3834-3842.
29. Nudotor RD, Prokopowicz G, Abbey EJ, et al. Comparative effectiveness of Roux-en Y gastric bypass versus vertical sleeve gastrectomy for sustained remission of type 2 diabetes mellitus. J Surg Res, 2021, 261: 407-416.
30. Cottam A, Cottam D, Zaveri H, et al. An analysis of mid-term complications, weight loss, and type 2 diabetes resolution of stomach intestinal pylorus-sparing surgery (SIPS) versus Roux-en-Y gastric bypass (RYGB) with three-year follow-up. Obes Surg, 2018, 28(9): 2894-2902.
31. Fazl Alizadeh R, Li S, Inaba CS, et al. Robotic versus laparoscopic sleeve gastrectomy: a MBSAQIP analysis. Surg Endosc, 2019, 33(3): 917-922.
32. 趙寧, 夏澤鋒, 王國斌, 等. 達芬奇機器人手術系統在袖狀胃切除術中的應用. 華中科技大學學報(醫學版), 2018, 47(5): 608-611, 632.
33. Bonsanto MM, Metzner R, Aschoff A, et al. 3D ultrasound navigation in syrinx surgery—A feasibility study. Acta Neurochir (Wien), 2005, 147(5): 533-540.
34. Pernar LIM, Robertson FC, Tavakkoli A, et al. An appraisal of the learning curve in robotic general surgery. Surg Endosc, 2017, 31(11): 4583-4596.
35. Lo HC, Wu SM. Reappraisal learning curve of laparoscopic Roux-en Y gastric bypass: retrospective results of one hundred and eight cases from a low-volume unit. BMC Surg, 2021, 21(1): 86.
36. Economopoulos KP, Theocharidis V, McKenzie TJ, et al. Robotic vs. laparoscopic Roux-en-Y gastric bypass: a systematic review and meta-analysis. Obes Surg, 2015, 25(11): 2180-2189.
37. Sebastian R, Howell MH, Chang KH, et al. Robot-assisted versus laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy: a propensity score-matched comparative analysis using the 2015-2016 MBSAQIP database. Surg Endosc, 2019, 33(5): 1600-1612.
38. 張俊聰, 胡家萍. 機器人與腹腔鏡胃旁路手術治療肥胖癥近期療效對比的Meta分析. 南昌: 南昌大學, 2017.
39. 汪波, 馬丹丹, 鐘藍海, 等. 達芬奇機器人與腹腔鏡下袖狀胃切除術治療肥胖癥的療效比較. 華南國防醫學雜志, 2019, 33(10): 673-676, 707.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of da Vinci surgical robot in metabolic surgery for weight loss

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