Five Year Trends in the Utilization of Robotic Bariatric Surgery Procedures, United States 2015–2019

Elisa Morales-Marroquin, Shreeya Khatiwada, Luyu Xie, Nestor de la Cruz-Muñoz, Sachin Kukreja, Benjamin Schneider, Faisal G. Qureshi, Sarah E. Messiah

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Purpose: Robotic approaches have been steadily replacing laparoscopic approaches in metabolic and bariatric surgeries (MBS); however, their superiority has not been rigorously evaluated. The main goal of the study was to evaluate the 5-year utilization trends of robotic MBS and to compare to laparoscopic outcomes. Methods: Retrospective analysis of 2015–2019 MBSAQIP data. Kruskal-Wallis test/Wilcoxon and Fisher’s exact/chi-square were used to compare continuous and categorical variables, respectively. Generalized linear models were used to compare surgery outcomes. Results: The use of robotic MBS increased from 6.2% in 2015 to 13.5% in 2019 (N= 775,258). Robotic MBS patients had significantly higher age, BMI, and likelihood of 12 diseases compared to laparoscopic patients. After adjustment, robotic MBS patients showed higher 30-day interventions and 30-day readmissions alongside longer surgery time (26–38 min). Conclusion: Robotic MBS shows higher intervention and readmission even after controlling for cofounding variables. Graphical Abstract: [Figure not available: see fulltext.]

Original languageEnglish (US)
JournalObesity Surgery
DOIs
StateAccepted/In press - 2022

Keywords

  • Laparoscopic bariatric surgery
  • MBS
  • Robotic bariatric surgery

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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