Evidence map›Paper›PMID 26983848›Full record

ArticleJournal of robotic surgery2016

Laparoscopic gastric bypass to robotic gastric bypass: time and cost commitment involved in training and transitioning an academic surgical practice.

Jerome R Lyn-Sue, Josh S Winder, Shannon Kotch, Jacob Colello, Salvatore Docimo

Abstract readComparative StudyEvaluation Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 6 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 6 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  9. Complications Following Robotic Hiatal Hernia Repair Are Higher Compared to Laparoscopy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Jerome R Lyn-SueDepartment of Surgery, Penn State Hershey Medical Center, 500 University Drive, M.C. H149, Hershey, PA, 17033, USA.
Josh S WinderDepartment of Surgery, Penn State Hershey Medical Center, 500 University Drive, M.C. H149, Hershey, PA, 17033, USA.
Shannon KotchDepartment of Surgery, Penn State Hershey Medical Center, 500 University Drive, M.C. H149, Hershey, PA, 17033, USA.
Jacob ColelloDepartment of Surgery, Penn State Hershey Medical Center, 500 University Drive, M.C. H149, Hershey, PA, 17033, USA.
Salvatore DocimoDepartment of Surgery, Penn State Hershey Medical Center, 500 University Drive, M.C. H149, Hershey, PA, 17033, USA. sdocimo@gmail.com.
Penn State Milton S. Hershey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Roux-en-Y gastric bypass is the gold standard procedure for weight loss. This relatively complex procedure has excellent outcomes when performed via laparoscopy. The advent of the DaVinci robotic platform has been a technological advancement. Our goal is to provide information regarding the cost, time commitment, and advantages of transitioning an LRYGB program to an RRYGB program in an academic setting. We retrospectively reviewed the last 25 laparoscopic gastric bypass procedures and the first 25 robotic gastric bypass procedures performed by a single surgeon. We compared clinical outcomes and focused on time and hospital cost during this transition phase. There was no significant demographic difference between the groups. The mean age was 41.7 (RRYGB) years vs 43.4 (LRYGM) years. The mean BMI were similar between groups, 45.3 vs 46.5 kg/m(2) for RRYGB and LRYGB. No anastomotic leaks or mortalities were noted. There was one anastomotic stricture in both groups. Excess weight loss was similar in both groups at 1 year. There was a significant increase in operative time with RRYGB, mean 241 min vs mean 174 min (p = 0.0005). Operative time fell by 25 min after the first 10 cases. The hospital cost was also increased with RRYGB mean $5922 vs $4395 (p = 0.03). Transitioning from a laparoscopic to a robotic practice can be done safely, however, the initial operative times were longer and the hospital cost was higher for robotic gastric bypass. We hope in the future that these will decrease after overcoming the learning and as the technology becomes widespread.

Indexed as

AdultBody Mass IndexCosts and Cost AnalysisEducation, Medical, GraduateGastric BypassHospital CostsHumansLaparoscopyObesity, MorbidRetrospective StudiesRobotic Surgical ProceduresTreatment OutcomeWeight LossBariatric surgeryLaparoscopic gastric bypassRobotic gastric bypassRoux-en-Y gastric bypass

Identifiers

PMID26983848
OpenAlexW2302875788

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.