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 language | English (US) |
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Pages (from-to) | 1539-1545 |
Number of pages | 7 |
Journal | Obesity Surgery |
Volume | 32 |
Issue number | 5 |
DOIs | |
State | Published - May 2022 |
Keywords
- Laparoscopic bariatric surgery
- MBS
- Robotic bariatric surgery
ASJC Scopus subject areas
- Surgery
- Endocrinology, Diabetes and Metabolism
- Nutrition and Dietetics