Featured Research

from universities, journals, and other organizations

Robotic Surgery Lowers Risk Of A Rare But Serious Complication Of Gastric Bypass, Study Suggests

Date:
September 30, 2008
Source:
University of Texas Health Science Center at Houston
Summary:
The use of a robot to assist with the most commonly performed weight-loss surgery appears to significantly lower a patient's risk of developing a rare but serious complication, according to a study published in the Journal of Robotic Surgery.

The use of a robot to assist with the most commonly performed weight-loss surgery appears to significantly lower a patient’s risk of developing a rare but serious complication, according to a study published in the most recent edition of the Journal of Robotic Surgery.

Related Articles


Minimally-invasive surgeons at The University of Texas Medical School at Houston statistically analyzed operative times, length of hospital stay and complications in 605 patients who either underwent laparoscopic Roux-en-Y gastric bypass or the same procedure with the assistance of a robot at Memorial Hermann – Texas Medical Center.

The one significant difference that stood out was the gastrointestinal leak rate. None of the patients in the robotic-assisted surgery group experienced a gastrointestinal leak, while six in the laparoscopy group suffered this complication within 90 days after their surgery.

Other results were similar. Robotically-assisted surgery took only 17 minutes longer than the laparoscopic procedure. Hospital stays were an average of three days in both groups, and the overall complication rate was 14 percent, with fewer than 4 percent being classified as major complications among the two groups of patients.

“While robotic surgery may take slightly longer and be more costly to use than traditional laparoscopy, we believe that the improved outcome and decreased leak rates may offset the cost to some extent,” said Erik B. Wilson, M.D., the study’s senior author and director of the UT Medical School at Houston’s Minimally Invasive Surgeons of Texas group.

A gastrointestinal leak, which can occur when the small intestine is reconnected to a small pouch created in the stomach, often produces symptoms of abdominal and chest pain, shortness of breath, fever, nausea, vomiting and rarely death. In this five-year study, there were no deaths in either group, and the rate for both gastrointestinal leaks and other complications was slightly lower than what has previously been reported in scientific journals.

Lead author Brad E. Snyder, M.D., assistant professor in the Department of Surgery, said the robotic technique offers numerous advantages to bariatric surgeons, and these advantages may play a role in the reduced leak rate.

“The most important advantage is that the robot allows for precise, ambidextrous forehand and backhand suture placement,” Snyder said. “The angles encountered during a laparoscopic gastric bypass are sometimes awkward and can make the surgical technique challenging. With the robot, this additional challenge is minimized and the bariatric surgeon can suture the area between the stomach and the section of the small intestine with confidence.”

Wilson, medical director of the bariatric surgery program at Memorial Hermann – TMC, said another advantage of robotics is the clear, three-dimensional view of the operative field which allows the surgeon to better visualize tissue planes and place more precise sutures.

“As a result, there is improved surgical performance and lower leakage rates,” Wilson said. “We believe this is the most important factor contributing to our zero percent leak rate. In addition, the robot allows us to work in tighter spaces, control our own camera and have a very steady operative view even when magnified. Overall, we feel that this attribute gives us the ability to offer the safest, most effective surgery results for our patients who want to achieve successful, long-term weight loss.”

Wilson and Snyder conducted the study with minimally-invasive surgery fellow Todd Wilson, M.D., and former UT Medical School at Houston faculty members Terry Scarborough, M.D., and Sherman Yu, M.D.

For information about robotic-assisted Roux-en-Y gastric bypass or an appointment with a surgeon who specializes in weight-loss procedures, call 713-892-5500.


Story Source:

The above story is based on materials provided by University of Texas Health Science Center at Houston. Note: Materials may be edited for content and length.


Cite This Page:

University of Texas Health Science Center at Houston. "Robotic Surgery Lowers Risk Of A Rare But Serious Complication Of Gastric Bypass, Study Suggests." ScienceDaily. ScienceDaily, 30 September 2008. <www.sciencedaily.com/releases/2008/09/080924151013.htm>.
University of Texas Health Science Center at Houston. (2008, September 30). Robotic Surgery Lowers Risk Of A Rare But Serious Complication Of Gastric Bypass, Study Suggests. ScienceDaily. Retrieved December 20, 2014 from www.sciencedaily.com/releases/2008/09/080924151013.htm
University of Texas Health Science Center at Houston. "Robotic Surgery Lowers Risk Of A Rare But Serious Complication Of Gastric Bypass, Study Suggests." ScienceDaily. www.sciencedaily.com/releases/2008/09/080924151013.htm (accessed December 20, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Saturday, December 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

The Best Tips to Curb Holiday Carbs

The Best Tips to Curb Holiday Carbs

Buzz60 (Dec. 19, 2014) It's hard to resist those delicious but fattening carbs we all crave during the winter months, but there are some ways to stay satisfied without consuming the extra calories. Vanessa Freeman (@VanessaFreeTV) has the details. Video provided by Buzz60
Powered by NewsLook.com
Sierra Leone Bikers Spread the Message to Fight Ebola

Sierra Leone Bikers Spread the Message to Fight Ebola

AFP (Dec. 19, 2014) More than 100 motorcyclists hit the road to spread awareness messages about Ebola. Nearly 7,000 people have now died from the virus, almost all of them in west Africa, according to the World Health Organization. Video provided by AFP
Powered by NewsLook.com
Researchers Test Colombian Village With High Alzheimer's Rates

Researchers Test Colombian Village With High Alzheimer's Rates

AFP (Dec. 19, 2014) In Yarumal, a village in N. Colombia, Alzheimer's has ravaged a disproportionately large number of families. A genetic "curse" that may pave the way for research on how to treat the disease that claims a new victim every four seconds. Duration: 02:42 Video provided by AFP
Powered by NewsLook.com
The Best Protein-Filled Foods to Energize You for the New Year

The Best Protein-Filled Foods to Energize You for the New Year

Buzz60 (Dec. 19, 2014) The new year is coming and nothing will energize you more for 2015 than protein-filled foods. Fitness and nutrition expert John Basedow (@JohnBasedow) gives his favorite high protein foods that will help you build muscle, lose fat and have endless energy. Video provided by Buzz60
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins