PMID- 32474795
OWN - NLM
STAT- MEDLINE
DCOM- 20210913
LR  - 20210913
IS  - 1863-2491 (Electronic)
IS  - 1863-2483 (Linking)
VI  - 15
IP  - 2
DP  - 2021 Apr
TI  - Outcomes of robotic surgery in revisional bariatric cases: a propensity 
      score-matched analysis of the MBSAQIP registry.
PG  - 235-239
LID - 10.1007/s11701-020-01098-z [doi]
AB  - In recent years, there has been a significant increase in the number of 
      Revisional Bariatric Surgery (RBS) cases performed to address complications and 
      weight recidivism. The use of the da Vinci robotic platform, considered 
      controversial by many, may offer advantages in RBS. The objective of our study is 
      to compare the outcomes of Robotic RBS (R-RBS) to Laparoscopic RBS (L-RBS). Using 
      the 2015-2017 Metabolic and Bariatric Surgery Accreditation and Quality 
      Improvement Program (MBSAQIP) database, we selected all RBS and we matched R-RBS 
      to L-RBS using a propensity score matching system to create balanced groups. Our 
      primary outcomes were 30-day Serious Adverse Events (SAE), 30-day Organ Specific 
      Infection (OSI), 30-day reoperation and 30-day interventions. Our secondary 
      outcomes included length of operation and 30-day readmission. We conducted 
      separate Mann-Whitney rank sums tests or chi-square tests and Fisher exact test. 
      R-RBS and L-RBS included 220 patients each. The overall incidence of 30-day SAEs, 
      30-day OSIs, 30-day reoperations, 30-day interventions were lower for R-RBS 
      (6.4%, 0.9%, 2.7% and 2.3%, respectively) compared L-RBS (7.7%, 1.4%, 3.6% and 
      3.6%, respectively). Subgroup analysis showed that R-RBS had a lower rate of 
      complications for the Gastric Bypass procedure but not for Sleeve gastrectomy 
      cases. However, 30-day readmission was higher for R-RBS compared to L-RBS (9.1% 
      vs 6.4% respectively). None of the analyses reached statistical significance. 
      R-RBS took significantly longer compared to L-RBS (169 min vs 138 min, p < 0.05). 
      Our study shows that R-RBS has lower complication rate albeit non-significant as 
      compared to L-RBS.
FAU - El Chaar, Maher
AU  - El Chaar M
AD  - St. Luke's University Health Network (SLUHN), Bethlehem, PA, USA.
AD  - Temple Lewis Katz School of Medicine, Philadelphia, USA.
FAU - King, Keith
AU  - King K
AUID- ORCID: 0000-0003-4685-4530
AD  - St. Luke's University Health Network (SLUHN), Bethlehem, PA, USA. 
      Keith.King@sluhn.org.
AD  - St. Luke's University Health Network, 240 Cetronia Road, Suite 205 North, 
      Allentown, PA, 18104, USA. Keith.King@sluhn.org.
FAU - Pastrana, Marlon
AU  - Pastrana M
AD  - St. Luke's University Health Network (SLUHN), Bethlehem, PA, USA.
AD  - St. Luke's University Health Network, 240 Cetronia Road, Suite 205 North, 
      Allentown, PA, 18104, USA.
FAU - Galvez, Alvaro
AU  - Galvez A
AD  - St. Luke's University Health Network (SLUHN), Bethlehem, PA, USA.
AD  - St. Luke's University Health Network, 240 Cetronia Road, Suite 205 North, 
      Allentown, PA, 18104, USA.
FAU - Stoltzfus, Jill
AU  - Stoltzfus J
AD  - St. Luke's University Health Network (SLUHN), Bethlehem, PA, USA.
AD  - Temple Lewis Katz School of Medicine, Philadelphia, USA.
LA  - eng
PT  - Journal Article
DEP - 20200530
PL  - England
TA  - J Robot Surg
JT  - Journal of robotic surgery
JID - 101300401
SB  - IM
MH  - Adult
MH  - Bariatric Surgery/*methods/*statistics & numerical data
MH  - Databases, Factual
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Obesity/*surgery
MH  - Patient Readmission/statistics & numerical data
MH  - Postoperative Complications/epidemiology
MH  - *Propensity Score
MH  - *Registries
MH  - Reoperation/*methods/*statistics & numerical data
MH  - Robotic Surgical Procedures/*methods/*statistics & numerical data
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Bariatric surgery
OT  - Metabolic surgery
OT  - Outcome studies
OT  - Robotic surgical procedures
OT  - Surgical revision
EDAT- 2020/06/01 06:00
MHDA- 2021/09/14 06:00
CRDT- 2020/06/01 06:00
PHST- 2020/04/13 00:00 [received]
PHST- 2020/05/26 00:00 [accepted]
PHST- 2020/06/01 06:00 [pubmed]
PHST- 2021/09/14 06:00 [medline]
PHST- 2020/06/01 06:00 [entrez]
AID - 10.1007/s11701-020-01098-z [pii]
AID - 10.1007/s11701-020-01098-z [doi]
PST - ppublish
SO  - J Robot Surg. 2021 Apr;15(2):235-239. doi: 10.1007/s11701-020-01098-z. Epub 2020 
      May 30.