Pain Assessment and Analgesic Requirements after Sleeve Gastrectomy: A Comparison Study of Robotic versus Laparoscopic Approaches

Author:

Barajas-Gamboa Juan S.1,Ihsan Khan Mohammed Sakib2,Mocanu Valentin3ORCID,Dang Jerry T.3ORCID,Romero-Velez Gustavo34,Lee St-John Terrence1,Diaz Del Gobbo Gabriel1ORCID,Guerron A. Daniel1,Pantoja Juan Pablo1,Abril Carlos14ORCID,Raza Javed1,Rodriguez John14,Kroh Matthew34ORCID,Corcelles Ricard34

Affiliation:

1. Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi 112412, United Arab Emirates

2. College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi 127788, United Arab Emirates

3. Digestive Disease Institute, Cleveland Clinic, Cleveland, OH 44195, USA

4. Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA

Abstract

Background: Sleeve gastrectomy is the most common bariatric procedure worldwide, yet postoperative pain management remains a concern. This study aimed to compare pain medication usage and pain scores between laparoscopic sleeve gastrectomy (LSG) and robotic sleeve gastrectomy (RSG) patients, addressing the potential benefits of RSG in postoperative pain control. Methods: A retrospective review of our institutional bariatric surgery registry included 484 patients (435 LSG, 49 RSG) who underwent surgery between September 2015 and November 2020. Pain management medications, including opioid use converted to morphine milligram equivalents (MMEs), and Numerical Rating Scale (NRS) scores were analyzed postoperatively using mixed-effects models. Results: RSG patients reported lower pain scores in the initial 24 h post-surgery and received significantly lower doses of morphine equivalents compared to LSG patients (median 7.5 mg vs. 12.5 mg, p < 0.001). RSG procedures had longer operative times (122.5 ± 27.1 vs. 89.9 ± 30.5 min, p < 0.001) but a shorter average length of stay (2.24 ± 0.60 vs. 2.65 ± 1.49 days) compared to LSG. Conclusions: These findings suggest that RSG may lead to reduced immediate postoperative pain and lower opioid requirements compared to the laparoscopic approach, despite longer operative times. Further randomized controlled trials are needed to confirm these observations and evaluate long-term outcomes.

Publisher

MDPI AG

Reference26 articles.

1. American Society for Metabolic and Bariatric Surgery (ASMBS) (2024, July 05). Estimate of Bariatric Surgery Numbers. Available online: https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers/.

2. Robotic versus laparoscopic sleeve gastrectomy: A MBSAQIP analysis;Li;Surg. Endosc.,2019

3. Robotic sleeve gastrectomy versus laparoscopic sleeve gastrectomy: A comparative study with 200 patients;Vilallonga;Obes. Surg.,2013

4. Pain Management in Weight Loss Surgery: Aiming for Multimodal Approach;Gamboa;Adv. Obes. Weight. Manag. Control,2016

5. Mechanisms of pain transmission and pharmacologic management;Argoff;Curr. Med. Res. Opin.,2011

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3