PMID- 35433802
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2296-875X (Print)
IS  - 2296-875X (Electronic)
IS  - 2296-875X (Linking)
VI  - 9
DP  - 2022
TI  - Minimally Invasive Revisional Bariatric Surgery in a MBSAQIP Accredited 
      High-Volume Center.
PG  - 880044
LID - 10.3389/fsurg.2022.880044 [doi]
LID - 880044
AB  - BACKGROUND: With the rising number of bariatric surgeries performed annually, 
      there has also been an increase in revisional bariatric surgeries (RBS). The aim 
      of this study is to evaluate the safety and postoperative outcomes of RBS 
      performed with a minimally invasive approach. METHODS: Retrospective analysis on 
      a prospectively collected database of patients who underwent minimally invasive 
      RBS between 2012 and 2019. Primary endpoints were conversion rate, major 
      morbidity, mortality, and 30-day reoperation rate. Comparative analysis of 
      laparoscopic adjustable gastric banding (LAGB) conversion to sleeve gastrectomy 
      (SG) vs. conversion to Roux-en-Y gastric bypass (RYGB) was performed. RESULTS: A 
      total of 221 patients underwent minimally invasive RBS, 137 (62%) 
      laparoscopically and 84 (38%) robotically. The most common RBS were LAGB to SG 
      (59.3%) and LAGB to RYGB conversions (16.7%). The main indication was weight loss 
      failure (88.7%). Conversion rate, major morbidity, and mortality were 0.9, 3.2, 
      and 0.4%, respectively. Urgent reoperation was required in 3.2% of cases. Total 
      weight loss at 1 and 2-years follow- were 14.3 and 17.3%, respectively. 
      Comparative analysis of LAGB conversion to SG vs. RYGB showed similar major 
      morbidity (SG: 2.3% vs. RYGB 0%, p = 1). Greater total weight loss was achieved 
      in LAGB to RYGB conversions at 1-year (SG: 14.8% vs. RYGB 25.3%, p < 0.001). 
      CONCLUSIONS: Minimally invasive RBS can be performed safely in a broad patient 
      population with low conversion and complication rates, and improved weight loss 
      outcomes. LAGB to RYGB conversions are associated with greater weight loss. 
      Further randomized trials are needed to draw more conclusive recommendations.
CI  - Copyright (c) 2022 Xie, Dreifuss, Schlottmann, Cubisino, Mangano, Vanetta, Baz, 
      Valle, Bianco, Gangemi and Masrur.
FAU - Xie, Julia
AU  - Xie J
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Dreifuss, Nicolas H
AU  - Dreifuss NH
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Schlottmann, Francisco
AU  - Schlottmann F
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Cubisino, Antonio
AU  - Cubisino A
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Mangano, Alberto
AU  - Mangano A
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Vanetta, Carolina
AU  - Vanetta C
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Baz, Carolina
AU  - Baz C
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Valle, Valentina
AU  - Valle V
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Bianco, Francesco M
AU  - Bianco FM
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Gangemi, Antonio
AU  - Gangemi A
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
FAU - Masrur, Mario A
AU  - Masrur MA
AD  - Division of General, Minimally Invasive, and Robotic Surgery, Department of 
      Surgery, University of Illinois at Chicago, Chicago, IL, United States.
LA  - eng
PT  - Journal Article
DEP - 20220401
PL  - Switzerland
TA  - Front Surg
JT  - Frontiers in surgery
JID - 101645127
PMC - PMC9010615
OTO - NOTNLM
OT  - bariatric surgery
OT  - gastric bypass
OT  - minimally invasive
OT  - robotics
OT  - sleeve gastrectomy
COIS- FB has an education agreement with intuitive. The remaining authors declare that 
      the research was conducted in the absence of any commercial or financial 
      relationships that could be construed as a potential conflict of interest.
EDAT- 2022/04/19 06:00
MHDA- 2022/04/19 06:01
PMCR- 2022/04/01
CRDT- 2022/04/18 06:39
PHST- 2022/02/20 00:00 [received]
PHST- 2022/03/10 00:00 [accepted]
PHST- 2022/04/18 06:39 [entrez]
PHST- 2022/04/19 06:00 [pubmed]
PHST- 2022/04/19 06:01 [medline]
PHST- 2022/04/01 00:00 [pmc-release]
AID - 10.3389/fsurg.2022.880044 [doi]
PST - epublish
SO  - Front Surg. 2022 Apr 1;9:880044. doi: 10.3389/fsurg.2022.880044. eCollection 
      2022.