PMID- 33078338 OWN - NLM STAT- MEDLINE DCOM- 20210419 LR - 20210419 IS - 1708-0428 (Electronic) IS - 0960-8923 (Linking) VI - 31 IP - 2 DP - 2021 Feb TI - Robotic-Assisted Surgery Results in a Shorter Hospital Stay Following Revisional Bariatric Surgery. PG - 634-639 LID - 10.1007/s11695-020-05022-0 [doi] AB - BACKGROUND: Revisional surgery is rapidly growing within the field of bariatric surgery. The use of robotic assisted surgery, considered controversial by many, may offer advantages in revisional bariatric surgery (RBS). There are few studies comparing laparoscopic and robotic-assisted RBS. The aim of this study is to compare the safety and outcome of laparoscopic and robotic RBS in a single accredited center. METHODS: A retrospective analysis of data collected prospectively on patients undergoing either laparoscopic (L-RBS) or robotic (R-RBS) RBS between January 1, 2017 and December 31, 2019 was performed. The primary outcomes included length of stay (LOS), 30-day major and minor complication rates, readmission rates, and mortality rates. RESULTS: A total of 167 patients were included in our analysis. Fifty-two patients underwent R-RBS (31%), and 115 underwent L-RBS (69%). Thirty-day major and minor complication rates for R-RBS and L-RBS were 1.9% and 5.8% vs 5.2% and 5.2%, respectively (p > .05). There was no difference in readmission rates (3.8% vs 8.7%, p > 0.05) or intraoperative blood loss (35.5 mL vs 37.4 mL, p > .05) between R-RBS and L-RBS. R-RBS resulted in a shorter length of stay when compared with L-RBS (40.2 h vs 62.6 h, p < .05). CONCLUSIONS: R-RBS has a decreased, albeit non-significant, rate of 30-day major complications with no difference in minor complications, readmission rates, or intraoperative blood loss when compared with L-RBS. R-RBS resulted in a decreased length of stay when compared with L-RBS. Randomized clinical trials are needed to better elucidate our findings. FAU - King, Keith AU - King K AD - St Luke's University Hospital and Health Network, Bethlehem, PA, USA. AD - Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA. FAU - Galvez, Alvaro AU - Galvez A AD - St Luke's University Hospital and Health Network, Bethlehem, PA, USA. FAU - Stoltzfus, Jill AU - Stoltzfus J AD - St Luke's University Hospital and Health Network, Bethlehem, PA, USA. AD - Lewis Katz School of Medicine-Temple University, Philadelphia, PA, USA. FAU - Claros, Leonardo AU - Claros L AD - St Luke's University Hospital and Health Network, Bethlehem, PA, USA. AD - Lewis Katz School of Medicine-Temple University, Philadelphia, PA, USA. FAU - El Chaar, Maher AU - El Chaar M AUID- ORCID: 0000-0001-5143-9257 AD - St Luke's University Hospital and Health Network, Bethlehem, PA, USA. maher.elchaar@sluhn.org. AD - Lewis Katz School of Medicine-Temple University, Philadelphia, PA, USA. maher.elchaar@sluhn.org. AD - St. Luke's University Health Network, 240 Cetronia Road Suite 205, North Allentown, PA, 18104, USA. maher.elchaar@sluhn.org. LA - eng PT - Journal Article DEP - 20201019 PL - United States TA - Obes Surg JT - Obesity surgery JID - 9106714 SB - IM MH - *Bariatric Surgery MH - *Gastric Bypass MH - Humans MH - *Laparoscopy MH - Length of Stay MH - *Obesity, Morbid/surgery MH - Reoperation MH - Retrospective Studies MH - *Robotic Surgical Procedures MH - Treatment Outcome MH - Weight Loss OTO - NOTNLM OT - Bariatric surgery OT - Conversion OT - Failed gastric band OT - Failed gastric bypass OT - Failed sleeve gastrectomy OT - Reoperative OT - Revision bariatric surgery OT - Robotic bariatric surgery EDAT- 2020/10/21 06:00 MHDA- 2021/04/20 06:00 CRDT- 2020/10/20 06:26 PHST- 2020/05/27 00:00 [received] PHST- 2020/10/05 00:00 [accepted] PHST- 2020/09/28 00:00 [revised] PHST- 2020/10/21 06:00 [pubmed] PHST- 2021/04/20 06:00 [medline] PHST- 2020/10/20 06:26 [entrez] AID - 10.1007/s11695-020-05022-0 [pii] AID - 10.1007/s11695-020-05022-0 [doi] PST - ppublish SO - Obes Surg. 2021 Feb;31(2):634-639. doi: 10.1007/s11695-020-05022-0. Epub 2020 Oct 19.