PMID- 33646519
OWN - NLM
STAT- MEDLINE
DCOM- 20210520
LR  - 20210625
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 31
IP  - 6
DP  - 2021 Jun
TI  - Role of Robotic Surgery in Complex Revisional Bariatric Procedures.
PG  - 2583-2589
LID - 10.1007/s11695-021-05272-6 [doi]
AB  - PURPOSE: Revisional bariatric surgery (RBS) is becoming more common, with an 
      estimated increase of more than 300% from 2017 to 2018. For these complex 
      procedures, the role of robotics is still debated. The purpose of our study is to 
      report the safety and effectiveness of robotic-assisted RBSs. MATERIALS AND 
      METHODS: A retrospective review of electronic medical records was conducted for 
      robotic-assisted RBSs performed at the Mayo Clinic in Florida, between January 1, 
      2016, and January 1, 2020. Peri- and postoperative data were analyzed, reviewing 
      patient characteristics, indications for surgery, and outcomes. RESULTS: From 160 
      RBSs performed during the study period, 67 were robotic-assisted and met 
      inclusion criteria. Primary procedures included sleeve gastrectomy (26 [38.8%]), 
      adjustable gastric band (24 [35.8%]), Roux-en-Y gastric bypass (14 [20.9%]), 
      vertical-banded gastroplasty (2 [3.0%]), and duodenal switch (1 [1.5%]). RBSs 
      performed were Roux-en-Y gastric bypass (49 [73.1%]), redo gastrojejunostomy (14 
      [20.9%]), and duodenal switch (4 [6.0%]). Rate of conversion to open procedure 
      and rate of readmission 1 month after surgery were 6.0% and 7.5%, respectively. 
      Rate of 30-day Clavien-Dindo grade III or higher adverse events was 4.5%. No 
      anastomotic leaks were documented. Fifty-two patients presented with preoperative 
      symptoms, and 69.2% reported improvement after RBS. Mean (SD) excess weight loss 
      was 57.62% (23.80) 12 months after RBS. CONCLUSION: Robotic-assisted RBSs are 
      safe with low major adverse event rates. Symptom resolution and weight loss 
      outcomes are acceptable.
FAU - Cheng, Yilon Lima
AU  - Cheng YL
AD  - Division of General Surgery, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 
      32224, USA.
FAU - Elli, Enrique F
AU  - Elli EF
AUID- ORCID: 0000-0001-6563-9540
AD  - Division of General Surgery, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 
      32224, USA. elli.enrique@mayo.edu.
LA  - eng
PT  - Journal Article
DEP - 20210301
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - *Bariatric Surgery
MH  - Florida
MH  - *Gastric Bypass
MH  - *Gastroplasty
MH  - Humans
MH  - *Laparoscopy
MH  - *Obesity, Morbid/surgery
MH  - Reoperation
MH  - Retrospective Studies
MH  - *Robotic Surgical Procedures
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Adjustable gastric band
OT  - Bariatric surgery
OT  - Duodenal switch
OT  - Gastric bypass
OT  - Revisional
OT  - Robot
OT  - Robotic-assisted
OT  - Sleeve gastrectomy
EDAT- 2021/03/02 06:00
MHDA- 2021/05/21 06:00
CRDT- 2021/03/01 12:16
PHST- 2020/05/20 00:00 [received]
PHST- 2021/02/03 00:00 [accepted]
PHST- 2021/01/27 00:00 [revised]
PHST- 2021/03/02 06:00 [pubmed]
PHST- 2021/05/21 06:00 [medline]
PHST- 2021/03/01 12:16 [entrez]
AID - 10.1007/s11695-021-05272-6 [pii]
AID - 10.1007/s11695-021-05272-6 [doi]
PST - ppublish
SO  - Obes Surg. 2021 Jun;31(6):2583-2589. doi: 10.1007/s11695-021-05272-6. Epub 2021 
      Mar 1.