Post-operative complications between patients undergoing videolaparoscopic and robot-assisted gastroplasty

Authors

DOI:

https://doi.org/10.5327/Z1414-44252025301011

Keywords:

Video-assisted surgery, Robotic surgical procedures, Bariatric surgery, Nursing

Abstract

Objective: To compare the occurrence of post-operative complications between patients undergoing gastroplasty by robot-assisted and videolaparoscopic (VLP) approaches. Methods: This is a case-control study. The electronic medical records of adult patients who underwent robot-assisted gastroplasty (case group) and VLP (control group) were included after electronic consent. Records of patients who had surgical technique conversion were excluded. The project was approved by the Research Ethics Committee of the institution where the research was conducted. Results: A total of 135 medical records were analyzed. The mean anesthetic time was 3h49 in the case group, compared to 2h10 in the control group (p<0.001). The average surgical time was 3h in the case group and 1h37 in the control group (p<0.001). The mean time spent in the post-anesthesia recovery room was 1h10 in the case group, compared to 1h07 in the control group (p=0.013). The occurrence of post-operative complications was similar between the study groups, with the most frequent being: pain (82; 60.7%), nausea (38; 28.1%), and vomiting (15; 11.1%). Conclusion: The post-operative complications assessed were similar between the groups. Patients undergoing VLP gastroplasty had significantly shorter anesthetic-surgical times compared to those undergoing robot-assisted surgeries.

References

World Health Organization. Obesity and overwheight [Internet]. Geneva: World Health Organization; 2024 [accessed on Jul 30, 2024]. Available at: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Jin X, Qiu T, Li L, Yu R, Chen X, Li C, et al. Pathophysiology of obesity and its associated diseases. Acta Pharm Sin B. 2023;13(6):2403-24. https://doi.org/10.1016/j.apsb.2023.01.012 DOI: https://doi.org/10.1016/j.apsb.2023.01.012

Branca F, Ursu P, Aguayo V. A plan for accelerated action on obesity. Lancet Glob Health. 2023;11(8):e1170-71. https://doi.org/10.1016/S2214-109X(23)00257-7 DOI: https://doi.org/10.1016/S2214-109X(23)00257-7

Instituto Brasileiro de Geografia e Estatística. Pesquisa nacional de saúde: 2019: atenção primária à saúde e informações antropométricas: Brasil [Internet]. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2020 [accessed on Jul 30, 2024]. Available at: https://biblioteca.ibge.gov.br/index.php/bibliotecacatalogo?view=detalhes&id=2101758

Koliaki C, Dalamaga M, Liatis S. Update on the obesity epidemic: after the sudden rise, is the upward trajectory beginning to flatten? Curr Obes Rep. 2023;12(4):514-27. https://doi.org/10.1007/s13679-023-00527-y DOI: https://doi.org/10.1007/s13679-023-00527-y

Aderinto N, Olatunji G, Kokori E, Olaniyi P, Isarinade T, Yusuf IA. Recent advances in bariatric surgery: a narrative review of weight loss procedures. Ann Med Surg (Lond). 2023;85(12):6091-104. https://doi.org/10.1097/MS9.0000000000001472 DOI: https://doi.org/10.1097/MS9.0000000000001472

Kim JC, Kim MG, Park JK, Lee S, Kim J, Cho YS, et al. Outcomes and adverse events after bariatric surgery: an updated systematic review and meta-analysis, 2013–2023. J Metab Bariatr Surg. 2023;12(2):76-88. https://doi.org/0.17476/jmbs.2023.12.2.76 DOI: https://doi.org/10.17476/jmbs.2023.12.2.76

Weller WE, Rosati C. Comparing outcomes of laparoscopic versus open bariatric surgery. Ann Surg. 2008;248(1):10-5. https://doi.org/10.1097/SLA.0b013e31816d953a DOI: https://doi.org/10.1097/SLA.0b013e31816d953a

Dimou FM, Ackermann N, Chang SH, Freeman D, Eagon JC, Eckhouse SR. Understanding the current role of robotic-assisted bariatric surgery. Obes Surg. 2021;31(7):3130-7. https://doi.org/10.1007/s11695-021-05375-0 DOI: https://doi.org/10.1007/s11695-021-05375-0

Cheng V, Samakar K, Dobrowolsky AB, Nguyen JD, Abel SA, Pakula A, et al. Common postbariatric surgery emergencies for the acute care surgeon: what you need to know. J Trauma Acute Care Surg. 2023;95(6):817-31. https://doi.org/10.1097/TA.0000000000004125 DOI: https://doi.org/10.1097/TA.0000000000004125

Wang T, Wang Q, Wang S. A meta-analysis of robot assisted laparoscopic radical prostatectomy versus laparoscopic radical prostatectomy. Open Med (Wars). 2019;14:485-90. https://doi.org/10.1515/med-2019-0052 DOI: https://doi.org/10.1515/med-2019-0052

Nasser H, Ivanics T, Ranjal RS, Leonard-Murali S, Genaw J. Perioperative outcomes of robotic versus laparoscopic sleeve gastrectomy in the super-obese. J Surg Res. 2020;249:34-41. https://doi.org/10.1016/j.jss.2019.12.012 DOI: https://doi.org/10.1016/j.jss.2019.12.012

Andrade C. Research design: case-control studies. Indian J Psychol Med. 2022;44(3):307-9. https://doi.org/10.1177/02537176221090104 DOI: https://doi.org/10.1177/02537176221090104

Morrell ALG, Morrell-Junior AC, Morrell AG, Mendes JMF, Tustumi F, Silva LGO, et al. The history of robotic surgery and its evolution: when illusion becomes reality. Rev Col Bras Cir. 2021;13:e20202798. https://doi.org/10.1590/0100-6991e-20202798 DOI: https://doi.org/10.1590/0100-6991e-20202798

Pozza DH, Azevedo LF, Lopes JMC. Pain as the fifth vital sign-A comparison between public and private healthcare systems. PLoS One. 2021;16(11):e0259535. https://doi.org/10.1371/journal.pone.0259535 DOI: https://doi.org/10.1371/journal.pone.0259535

Jin Z, Gan TJ, Bergese SD. Prevention and treatment of postoperative nausea and vomiting (PONV): a review of current recommendations and emerging therapies. Ther Clin Risk Manag. 2020;16:1305-17. https://doi.org/10.2147/TCRM.S256234 DOI: https://doi.org/10.2147/TCRM.S256234

Kesarimangalam MHP, Hegde PM. Identification of risk factors contributing to prolonged stay in the post-anaesthesia care unit at a tertiary care hospital in Abu Dhabi, United Arab Emirates. Cureus. 2023;15(3):e35741. https://doi.org/10.7759/cureus.35741 DOI: https://doi.org/10.7759/cureus.35741

Nijland LMG, Castro SMM, Veen RN. Risk factors associated with prolonged hospital stay and readmission in patients after primary bariatric surgery. Obes Surg. 2020;30(6):2395-402. https://doi.org/10.1007/s11695-020-04507-2 DOI: https://doi.org/10.1007/s11695-020-04507-2

Brasil. Ministério da Saúde. Conselho Nacional de Saúde. Resolução no 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. Brasília: Conselho Nacional de Saúde; [accessed on Jul 20, 2024]. Available at: https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html

Elias AA, Roque-de-Oliveira M, Campos JM, Sasake WT, Bandeira AA, Silva LB, et al. Cirurgia bariátrica robótico-assistida: análise de série de casos e comparação com via laparoscópica. Rev Col Bras Cir. 2018;45(3):e1806. https://doi.org/10.1590/0100-6991e-20181806 DOI: https://doi.org/10.1590/0100-6991e-20181806

Iamaroon A, Tangwiwat S, Nivatpumin P, Lertwacha T, Rungmongkolsab P, Pangthipampai P. Risk factors for moderate to severe pain during the first 24 hours after laparoscopic bariatric surgery while receiving intravenous patient-controlled analgesia. Anesthesiol Res Pract. 2019;2019:6593736. https://doi.org/10.1155/2019/6593736 DOI: https://doi.org/10.1155/2019/6593736

Gan TJ. Poorly controlled postoperative pain: prevalence, consequences, and prevention. J Pain Res. 2017;10:2287-98. https://doi.org/10.2147/JPR.S144066 DOI: https://doi.org/10.2147/JPR.S144066

Heinberg LJ, Pudalov L, Alameddin H, Steffen K. Opioids and bariatric surgery: a review and suggested recommendations for assessment and risk reduction. Surg Obes Relat Dis. 2019;15(2):314-21. https://doi.org/10.1016/j.soard.2018.11.019 DOI: https://doi.org/10.1016/j.soard.2018.11.019

Gao B, Chen J, Liu Y, Hu S, Wang R, Peng F, et al. Efficacy and safety of enhanced recovery after surgery protocol on minimally invasive bariatric surgery: a meta-analysis. Int J Surg. 2023;109(4):1015-28. https://doi.org/10.1097/JS9.0000000000000372 DOI: https://doi.org/10.1097/JS9.0000000000000372

Acevedo Jr E, Mazzei M, Zhao H, Lu X, Soans R, Edwards MA. Outcomes in conventional laparoscopic versus robotic-assisted primary bariatric surgery: a retrospective, case-controlled study of the MBSAQIP database. Surg Endosc. 2020;34(3):1353-65. https://doi.org/10.1007/s00464-019-06915-7 DOI: https://doi.org/10.1007/s00464-019-06915-7

Carbonara U, Srinath M, Crocerossa F, Ferro M, Cantiello F, Lucarelli G, et al. Robot-assisted radical prostatectomy versus standard laparoscopic radical prostatectomy: an evidence-based analysis of comparative outcomes. World J Urol. 2021;39(10):3721-32. https://doi.org/10.1007/s00345-021-03687-5 DOI: https://doi.org/10.1007/s00345-021-03687-5

Takmaz Ö, Güngör M. Robotic versus laparoscopic hysterectomy; comparison of early surgical outcomes. J Turk Ger Gynecol Assoc. 2020;21(4):260-4. https://doi.org/10.4274/jtgga.galenos.2020.2019.0187 DOI: https://doi.org/10.4274/jtgga.galenos.2020.2019.0187

Published

2025-06-08

How to Cite

Oliveira, R. A., Castro, B., Almeida, A. G. C. dos S., & Poveda , V. de B. (2025). Post-operative complications between patients undergoing videolaparoscopic and robot-assisted gastroplasty. Revista SOBECC, 30. https://doi.org/10.5327/Z1414-44252025301011

Issue

Section

ORIGINAL ARTICLES