The Short-term Effect Of Robot-assisted Sleeve Gastrectomy Combined With His Angle Reconstruction In The Treatment Of Obesity Complicated With Gastroesophageal Reflux Disease

Objective: To compare the weight loss and anti-reflux effects of robotic-assisted laparoscopic sleeve gastrectomy combined with His angle reconstruction(RLSG+His angle reconstruction)with those of robotic-assisted laparoscopic sleeve gastrectomy alone(RLSG)for the treatment of obesity combined with gastro-oesophageal reflux disease(GERD),so as to evaluate the recent clinical efficacy of robotic-assisted sleeve gastrectomy combined with His angle reconstruction for the treatment of obesity combined with GERD.recent clinical outcomes.Method: A retrospective analysis of 71 patients diagnosed with obesity combined with GERD from April 2021 to July 2022 at the Department of Minimally Invasive,Hernia and Abdominal Wall Surgery,People’s Hospital of Xinjiang Uygur Autonomous Region,of whom 30 underwent RLSG + His angle reconstruction and the remaining 41 underwent RLSG alone.The clinical and related tests such as GERD-Q score,GERD-HRQL,24-hour p H impedance monitoring,high-resolution oesophageal manometry and lipid analysis were collected before and 6 months after surgery.Results: The results of this study showed that there was a statistically significant difference in weight,BMI and trimesters between the two groups at 6 months postoperatively compared to preoperatively(P<0.05).There was no statistically significant difference in the percentage of additional weight loss(EWL%)between the two groups at 6 months post-operatively(P>0.05).The GERD-Q score,GERDHRQL score,number of acid refluxes and oesophageal kinetic analysis at 6 months postoperatively in both groups showed a significant improvement in GERD-related symptoms compared to the preoperative period,with the anti-reflux efficacy of the RLSG+His angle reconstruction group being significantly higher than that of the RLSG alone group,with a statistically significant difference(P<0.05).In terms of lipid analysis,both groups showed a reduction in lipid-related indicators at 6 months postoperatively compared to the preoperative period,but there was no statistically significant difference between the two groups postoperatively(P<0.05).Conclusion: Both surgical procedures were effective and safe in reducing patients’ weight,BMI and trimesters.In addition,the postoperative EWL% was >50%in both groups,and the difference between the two groups was not statistically significant(P>0.05),suggesting that the two groups had comparable weight reduction effects.In addition to effectively relieving the patient’s original GERD symptoms,it can also prevent the occurrence of GERD after bariatric surgery,with a low incidence of surgical complications.