Minimally invasive techniques in bariatric surgery: A literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v13i8.46574

Keywords:

Bariatric surgery; Laparoscopy; Robotic surgery.

Abstract

Introduction: Bariatric surgery represents an effective approach in combating morbid obesity and its respective comorbidities. It is noted that minimally invasive procedures, such as laparoscopy and robotic surgery, have stood out for presenting lower complication rates, faster recovery, and shorter hospital stays compared to traditional surgeries. Objectives: This article aims to review the advantages and challenges of minimally invasive procedures in bariatric surgery, focusing on aspects such as complication rates, recovery, hospital stay duration, and the challenges in implementing these techniques, including costs and resistance to adopting new technologies. Results: The analysis indicated that minimally invasive techniques offer substantial clinical benefits, including lower complication rates and faster recovery, which translates into significant economic advantages by reducing hospital costs. However, the implementation of these techniques faces notable obstacles, such as the high cost of equipment and the need for specialized training for healthcare professionals. Conclusion: The adoption of minimally invasive techniques, such as laparoscopy and robotic surgery, is essential to improve clinical and economic outcomes in bariatric surgery. Despite challenges such as costs and technological resistance, the efficacy and safety of these approaches highlight the need for their broader incorporation. Continued research and the adoption of evidence-based practices are fundamental to optimizing the treatment and prevention of morbid obesity.

References

Adams, T. D., Gress, R. E., Smith, S. C., Halverson, R. C., Simper, S. C., Rosamond, W. D., & Hunt, S. C. (2007). Long-term mortality after gastric bypass surgery. New England Journal of Medicine, 357(8), 753-761.

Angrisani, L., Santonicola, A., Iovino, P., Formisano, G., Buchwald, H., & Scopinaro, N. (2015). Bariatric surgery worldwide 2013. Obesity Surgery, 25(10), 1822-1832.

Arterburn, D. E., Olsen, M. K., Smith, V. A., Livingston, E. H., Van Scoyoc, L., Yancy, W. S., & Weidenbacher, H. J. (2015). Association between bariatric surgery and long-term survival. JAMA, 313(1), 62-70.

Birkmeyer, J. D., Finks, J. F., O'Reilly, A., Oerline, M., Carlin, A. M., Nunn, A. R., & Share, D. (2010). Surgical skill and complication rates after bariatric surgery. New England Journal of Medicine, 369(15), 1434-1442.

Brethauer, S. A., Hammel, J. P., Schauer, P. R. (2009). Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surgery for Obesity and Related Diseases, 5(4), 469-475.

Buchwald, H., Avidor, Y., Braunwald, E., Jensen, M. D., Pories, W., Fahrbach, K., & Schoelles, K. (2004). Bariatric surgery: a systematic review and meta-analysis. JAMA, 292(14), 1724-1737.

Bustos, R., Mangano, A., Gheza, F., Chen, L., Aguiluz-Cornejo, G., Gangemi, A., & Masrur, M. (2019). Robotic-Assisted Roux-en-Y Gastric Bypass: Learning Curve Assessment Using Cumulative Sum and Literature Review. Bariatric Surgical Practice and Patient Care.

Courcoulas, A. P., Christian, N. J., Belle, S. H., Berk, P. D., Flum, D. R., Garcia, L., & Yanovski, S. Z. (2013). Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. JAMA, 310(22), 2416-2425.

Dixon, J. B., O'Brien, P. E., Playfair, J., Chapman, L., Schachter, L. M., Skinner, S., & Anderson, M. (2008). Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA, 299(3), 316-323.

Gagner, M., Pomp, A., & Milone, L. (2003). Laparoscopic revisional bariatric surgery: experience from 1995 to 2003. Obesity Surgery, 13(2), 245-250.

Gil AC. (2017). Métodos e técnicas de pesquisa social. 6ª ed. São Paulo: Atlas.

Higa, K. D., Boone, K. B., & Ho, T. (2011). Complications of the laparoscopic Roux-en-Y gastric bypass: 1,040 patients—what have we learned? Obesity Surgery, 20(12), 1673-1679.

Kolotkin, R. L., & Andersen, J. R. (2017). A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life. Clinical Obesity, 7(5), 273–289.

Leang, Y. J., Mayavel, N., Yang, W. T. W., Kong, J. C. H., Hensman, C., Burton, P. R., & Brown, W. A. (2024). Robotic versus laparoscopic gastric bypass in bariatric surgery: a systematic review and meta-analysis on perioperative outcomes. Surg Obes Relat Dis., 20(1), 62-71.

Maggard, M. A., Shugarman, L. R., Suttorp, M., Maglione, M., Sugerman, H. J., Livingston, E. H., & Shekelle, P. G. (2005). Meta-analysis: surgical treatment of obesity. Annals of Internal Medicine, 142(7), 547-559.

Mendes, K. D. S., Silveira R. C. C. P., & Galvão C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm., 17(4), 758-64.

Nguyen, N. T., Goldman, C., Rosenquist, C. J., Arango, A., Cole, C. J., Lee, S. J., & Wolfe, B. M. (2001). Laparoscopic Versus Open Gastric Bypass: A Randomized Study of Outcomes, Quality of Life, and Costs. Annals of Surgery, 234(3), 279–291.

Nguyen, N. T., Hinojosa, M. W., Fayad, C., Varela, E., Kinoshita, Y., & Wilson, S. E. (2009). Use and outcomes of laparoscopic versus open gastric bypass at academic medical centers. Journal of the American College of Surgeons, 209(2), 192-198.

Pories, W. J., Swanson, M. S., MacDonald, K. G., Long, S. B., Morris, P. G., Brown, B. M., & Caro, J. F. (1995). Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Annals of Surgery, 222(3), 339-350.

Schauer, P. R., Ikramuddin, S., Gourash, W., Ramanathan, R., & Luketich, J. (2000). Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Annals of Surgery, 232(4), 515-529.

Sjöström, L., Narbro, K., Sjöström, C. D., Karason, K., Larsson, B., Wedel, H., & Lönroth, H. (2004). Effects of bariatric surgery on mortality in Swedish obese subjects. New England Journal of Medicine, 351(26), 2683-2693.

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Published

20/08/2024

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LINO, L. A. .; MENDES, L. M. C. .; GOMES, C. V. C. .; SOUZA , G. T. de .; MORAES, R. S. de .; COELHO, M. L. .; BERNARDES , A. M. .; ABREU, R. A. F. de .; BORDIGNON, T. M. .; MORAIS, D. V. .; ESCLAVAZINI FILHO, E. B. .; DEUS FILHO, A. L. de . Minimally invasive techniques in bariatric surgery: A literature review. Research, Society and Development, [S. l.], v. 13, n. 8, p. e7613846574, 2024. DOI: 10.33448/rsd-v13i8.46574. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/46574. Acesso em: 5 jan. 2025.

Issue

Vol. 13 No. 8

Section

Health Sciences

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Copyright (c) 2024 Lucas Arruda Lino; Luis Miguel Carvalho Mendes; Carlos Victor Carvalho Gomes; Gabriel Tonetti de Souza ; Raissa Silva de Moraes; Mariane Lima Coelho; Andersanny Moura Bernardes ; Rafaella Antunes Fiorotto de Abreu; Tarciana Maria Bordignon; Diego Vieira Morais; Evandro Borges Esclavazini Filho; Antônio Luiz de Deus Filho

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