A comparative analysis of the short-term therapeutic effects of robot-assisted versus laparoscopic sleeve gastrectomy with fundoplication in patients with obesity from gastroesophageal reflux disease
10.3760/cma.j.cn113855-20250421-00237
- VernacularTitle:机器人辅助与腹腔镜袖状胃切除联合Dor胃底折叠术治疗肥胖合并胃食管反流病近期疗效的对比分析
- Author:
Zheqi ZHOU
1
;
Jiaxin WEN
Author Information
1. 新疆医科大学，乌鲁木齐 830054
- Publication Type:Journal Article
- Keywords:
Gastroesophageal reflux;
Obesity, morbid;
Gastrectomy;
Fundoplication;
Robot;
Laparoscopies
- From:
Chinese Journal of General Surgery
2025;40(6):445-450
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate and compare the short-term efficacy of robot-assisted versus laparoscopic sleeve gastrectomy with Dor fundoplication for the treatment of obesity with gastroesophageal reflux disease (GERD).Methods:A retrospective analysis was conducted on the clinical data of 46 patients with obesity combined with GERD who underwent robot-assisted sleeve gastrectomy combined with Dor fundoplication or laparoscopic sleeve gastrectomy combined with Dor fundoplication at the People's Hospital of Xinjiang Uygur Autonomous Region from May 2021 to Nov 2023. Patients were divided into the RSGFD group and the LSGFD group based on the surgical procedure. Perioperative parameters, weight loss outcomes, and changes in Gastroesophageal Reflux Disease Questionnaire (GERD-Q) scores were compared between the two groups.Results:There were no statistically significant differences between the two groups in terms of operative time, postoperative length of hospital stay, or postoperative complication rate (all P>0.05). Both groups showed significant decreases in weight and BMI at 6 months and 1 year postoperatively compared to preoperative values (all P<0.05). There were no statistically significant differences in %EWL and %TWL between the two groups at 6 months and 1 year postoperatively ( t=0.142, 0.437, 1.246, 1.898, all P>0.05). At 1 year postoperatively, GERD-Q scores were significantly decreased in both groups ( Z=-4.329, -3.879, both P<0.001). There was no statistically significant difference in GERD symptom improvement between the two groups ( Z=0.577, P=0.749). Conclusion:RSGFD and LSGFD demonstrate comparable efficacy in the treatment of obesity complicated by GERD.
