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First modified Delphi consensus statement on robotic-assisted da Vinci sleeve gastrectomy.
El Chaar, Maher; Rogers, Ann M; Mattar, Samer G; Kukreja, Sachin S; Jenkins, Megan; Askew, Cameron; Hassan, Monique; Baker, Randal; Smith, Eric; Galvani, Carlos.
Afiliación
  • El Chaar M; Department of Surgery, St Luke's University Hospital and Health Network, Allentown, Pennsylvania. Electronic address: maher.elchaar@sluhn.org.
  • Rogers AM; Penn State Health, Hershey, Pennsylvania.
  • Mattar SG; Baylor College of Medicine, Houston, Texas.
  • Kukreja SS; DFW Bariatrics and General Surgery, Dallas, Texas.
  • Jenkins M; NYU Langone, New York, New York.
  • Askew C; Brookwood Baptist Health, Birmingham, Alabama.
  • Hassan M; Baylor College of Medicine, Temple, Texas.
  • Baker R; Trinity Health Michigan.
  • Smith E; Kentucky Bariatric Institute, Georgetown, Kentucky.
  • Galvani C; Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
Surg Obes Relat Dis ; 20(11): 1163-1171, 2024 Nov.
Article en En | MEDLINE | ID: mdl-38991936
ABSTRACT

BACKGROUND:

Sleeve gastrectomy (SG) is the most commonly performed metabolic and bariatric surgery (MBS) procedure. Technical considerations related to the performance of SG are well established and reported in the literature but not in relation to robotic-assisted (RA) SG. We report the results of the first modified Delphi consensus-building exercise addressing technical considerations of RA da Vinci (dV) SG.

OBJECTIVES:

Develop best practices for the performance of robotic-assisted da Vinci sleeve gastrectomy.

SETTING:

Survey based consensus statement.

METHODS:

A consensus building committee (CBC) was created comprising 10 experts in the field of RA surgery and MBS based on strict selection criteria. The CBC developed 49 consensus statements which were then shared with 240 experts in RA surgery. Our stopping criterion was stability in responses (≤15%). The consensus cut point was 70%.

RESULTS:

The overall response rate was 49%. In the first round of voting, there was consensus agreement on 25 statements (51%), consensus disagreement on 14 (28%), and no consensus on the remaining statements (21%). In the second round of voting, we reached agreement on 3 additional statements. Experts recommended the use of the number of pauses generated by the stapler to guide choice of staple height (91.2%) and to upsize the staple height when using buttressing (92%). There was also consensus (81.4%) that the use of the closed staple height of 1.00 mm (white) is acceptable and that stapling of the antrum using a 1.5-mm staple (blue load) is also acceptable (73%).

CONCLUSIONS:

Collective expert opinion structured through a modified Delphi consensus statement presents a practical guide for surgeons interested in performing dV-SG.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Técnica Delphi / Procedimientos Quirúrgicos Robotizados / Gastrectomía Límite: Humans Idioma: En Revista: Surg Obes Relat Dis Asunto de la revista: METABOLISMO Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Técnica Delphi / Procedimientos Quirúrgicos Robotizados / Gastrectomía Límite: Humans Idioma: En Revista: Surg Obes Relat Dis Asunto de la revista: METABOLISMO Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos