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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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.	卢笛. 达芬奇机器人XI原理及初期使用要点. 中国医学装备协会. 中国医学装备大会暨2020医学装备展览会论文汇编. 北京: 中国医学装备协会: 《中国医学装备》杂志社, 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, 窦磊, 庞晓燕, 等. 机器人手术与腹腔镜手术对外科医生影响的比较. 机器人外科学杂志(中英文), 2020, 1(3): 195-201.
7.	王海伶, 张玲. 新应用领域的机器人医疗外科机器人研究. 电脑编程技巧与维护, 2021, (2): 123-124, 143.
8.	赵之明. 达芬奇机器人在肝胆胰外科手术中的应用与前景. 临床肝胆病杂志, 2020, 36(12): 2659-2662.
9.	刘升平, 朱利勇, 李鹏洲, 等. 达芬奇机器人手术系统辅助Roux-en-Y胃旁路术治疗2型糖尿病一例(附视频). 中华肥胖与代谢病电子杂志, 2016, 2(1): 53-55.
10.	李淑婷, 尹星琪, 赵冬, 等. 减重代谢手术的减重机制研究进展. 中国临床医生杂志, 2021, 49(3): 273-275.
11.	张鹏. 胆胰分流并十二指肠转位术治疗胃袖状切除术后复胖个案报告并文献复习. 腹腔镜外科杂志, 2020, 25(3): 175-179.
12.	胆胰转流十二指肠转位术及其复合手术是否适合我国肥胖糖尿病病人. 中国实用外科杂志, 2020, 40(4): 413-414.
13.	吴安健, 刘兢文, 公凤霞, 等. 腹腔镜可调节胃束带折叠术治疗肥胖疗效观察. 解放军医学院学报, 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.	中国医师协会外科医师分会肥胖和糖尿病外科医师委员会, 中国成人教育协会医学继续教育专业委员会肥胖代谢委员会. 腹腔镜Roux-en-Y胃旁路术规范化手术操作指南(2019版). 中华肥胖与代谢病电子杂志, 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.	中国研究型医院学会微创外科学专业委员会, 中国医药教育协会代谢病学专业委员会. 机器人辅助袖状胃切除术操作指南(2020年版). 腹腔镜外科杂志, 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.	赵宁, 王国斌. 达芬奇机器人辅助下腹腔镜袖状胃切除术治疗肥胖症的早期疗效研究. 武汉: 华中科技大学, 2019.
22.	胡帆, 马丹丹, 张杨, 等. 达芬奇机器人手术系统袖状胃切除术治疗肥胖症及其合并症的临床疗效. 华南国防医学杂志, 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.	薛伟. 腹腔镜单吻合口十二指肠转位术用于重度肥胖症患者短期疗效显著. 中华医学信息导报, 2020, 35(2): 5.
25.	王伦, 李世星, 于洋, 等. 腹腔镜单吻合口十二指肠转位术治疗重度肥胖症的临床疗效. 中华消化外科杂志, 2019, 18(12): 1171-1177.
26.	中国医师协会外科医师分会肥胖和糖尿病外科医师委员会. 关于单吻合口十二指肠转位手术(SADI-S/SIPS)的立场声明. 中华肥胖与代谢病电子杂志, 2019, 5(4): 183-186.
27.	姜涛. 腹腔镜胃袖状切除联合单吻合口十二指肠回肠旁路术治疗肥胖症及肥胖相关代谢病17例疗效分析. 中国实用外科杂志, 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.	赵宁, 夏泽锋, 王国斌, 等. 达芬奇机器人手术系统在袖状胃切除术中的应用. 华中科技大学学报(医学版), 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.	张俊聪, 胡家萍. 机器人与腹腔镜胃旁路手术治疗肥胖症近期疗效对比的Meta分析. 南昌: 南昌大学, 2017.
39.	汪波, 马丹丹, 钟蓝海, 等. 达芬奇机器人与腹腔镜下袖状胃切除术治疗肥胖症的疗效比较. 华南国防医学杂志, 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. 卢笛. 达芬奇机器人XI原理及初期使用要点. 中国医学装备协会. 中国医学装备大会暨2020医学装备展览会论文汇编. 北京: 中国医学装备协会: 《中国医学装备》杂志社, 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, 窦磊, 庞晓燕, 等. 机器人手术与腹腔镜手术对外科医生影响的比较. 机器人外科学杂志(中英文), 2020, 1(3): 195-201.
7. 王海伶, 张玲. 新应用领域的机器人医疗外科机器人研究. 电脑编程技巧与维护, 2021, (2): 123-124, 143.
8. 赵之明. 达芬奇机器人在肝胆胰外科手术中的应用与前景. 临床肝胆病杂志, 2020, 36(12): 2659-2662.
9. 刘升平, 朱利勇, 李鹏洲, 等. 达芬奇机器人手术系统辅助Roux-en-Y胃旁路术治疗2型糖尿病一例(附视频). 中华肥胖与代谢病电子杂志, 2016, 2(1): 53-55.
10. 李淑婷, 尹星琪, 赵冬, 等. 减重代谢手术的减重机制研究进展. 中国临床医生杂志, 2021, 49(3): 273-275.
11. 张鹏. 胆胰分流并十二指肠转位术治疗胃袖状切除术后复胖个案报告并文献复习. 腹腔镜外科杂志, 2020, 25(3): 175-179.
12. 胆胰转流十二指肠转位术及其复合手术是否适合我国肥胖糖尿病病人. 中国实用外科杂志, 2020, 40(4): 413-414.
13. 吴安健, 刘兢文, 公凤霞, 等. 腹腔镜可调节胃束带折叠术治疗肥胖疗效观察. 解放军医学院学报, 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. 中国医师协会外科医师分会肥胖和糖尿病外科医师委员会, 中国成人教育协会医学继续教育专业委员会肥胖代谢委员会. 腹腔镜Roux-en-Y胃旁路术规范化手术操作指南(2019版). 中华肥胖与代谢病电子杂志, 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. 中国研究型医院学会微创外科学专业委员会, 中国医药教育协会代谢病学专业委员会. 机器人辅助袖状胃切除术操作指南(2020年版). 腹腔镜外科杂志, 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. 赵宁, 王国斌. 达芬奇机器人辅助下腹腔镜袖状胃切除术治疗肥胖症的早期疗效研究. 武汉: 华中科技大学, 2019.
22. 胡帆, 马丹丹, 张杨, 等. 达芬奇机器人手术系统袖状胃切除术治疗肥胖症及其合并症的临床疗效. 华南国防医学杂志, 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. 薛伟. 腹腔镜单吻合口十二指肠转位术用于重度肥胖症患者短期疗效显著. 中华医学信息导报, 2020, 35(2): 5.
25. 王伦, 李世星, 于洋, 等. 腹腔镜单吻合口十二指肠转位术治疗重度肥胖症的临床疗效. 中华消化外科杂志, 2019, 18(12): 1171-1177.
26. 中国医师协会外科医师分会肥胖和糖尿病外科医师委员会. 关于单吻合口十二指肠转位手术(SADI-S/SIPS)的立场声明. 中华肥胖与代谢病电子杂志, 2019, 5(4): 183-186.
27. 姜涛. 腹腔镜胃袖状切除联合单吻合口十二指肠回肠旁路术治疗肥胖症及肥胖相关代谢病17例疗效分析. 中国实用外科杂志, 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. 赵宁, 夏泽锋, 王国斌, 等. 达芬奇机器人手术系统在袖状胃切除术中的应用. 华中科技大学学报(医学版), 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. 张俊聪, 胡家萍. 机器人与腹腔镜胃旁路手术治疗肥胖症近期疗效对比的Meta分析. 南昌: 南昌大学, 2017.
39. 汪波, 马丹丹, 钟蓝海, 等. 达芬奇机器人与腹腔镜下袖状胃切除术治疗肥胖症的疗效比较. 华南国防医学杂志, 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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