PMID- 36572836
OWN - NLM
STAT- MEDLINE
DCOM- 20230202
LR  - 20230204
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Print)
IS  - 0960-8923 (Linking)
VI  - 33
IP  - 2
DP  - 2023 Feb
TI  - Current Trends in the Utilization of a Robotic Approach in the Field of Bariatric 
      Surgery.
PG  - 482-491
LID - 10.1007/s11695-022-06378-1 [doi]
AB  - PURPOSE: The utilization rate of robotic surgery for bariatric procedures is not 
      well-described. Our study identified the proportion of metabolic and bariatric 
      surgery (MBS) procedures in the United States between 2015 and 2020 performed 
      using a robotic (R-) or laparoscopic (L-) approach. MATERIALS AND METHODS: A 
      descriptive analysis of the 2015-2020 Metabolic and Bariatric Surgery 
      Accreditation and Quality Improvement Program (MBSAQIP) Participant User Data 
      File (PUF) datasets was performed. The primary outcome was (1) surgical cases 
      performed annually and (2) proportion of cases performed using a R- or L- 
      approach. Analysis was done separately for sleeve gastrectomy (SG), Roux-en-Y 
      gastric bypass (RYGB), biliopancreatic diversion with duodenal switch (BPD-DS), 
      and revisional bariatric surgery (RBS). Statistical analysis consisted of means 
      and proportions, fold difference, annual slope, and Student's t tests or 
      chi-square tests as appropriate, with statistical significance set to p < .05. 
      RESULTS: A total of 1,135, 214 procedures were captured between 2015 and 2020. 
      R-RYGB increased from 2554 to 6198 (6.8% to 16.7%), R-SG increased from 5229 to 
      17,063 (6.0% to 17.2%), R-RBS increased from 993 to 3386 (4.7% to 17.4%), and 
      R-BPD-DS increased from 221 to 393 (22.0% to 28.4%). The greatest annual increase 
      was observed among R-RBS and R-SG (3.70-fold difference; slope 2.4% per year and 
      2.87-fold difference; slope 2.2% per year, respectively). CONCLUSION: There is a 
      nationwide increase in the utilization of a R- approach in bariatric surgery. 
      There are concerns related to the potential increase in healthcare expenditures 
      related to robotics. Further studies are needed to establish key performance 
      indicators along with guidelines for training, adoption and utilization of a R- 
      approach.
CI  - (c) 2022. The Author(s), under exclusive licence to Springer Science+Business 
      Media, LLC, part of Springer Nature.
FAU - Bauerle, Wayne B
AU  - Bauerle WB
AD  - Department of Surgery, St. Luke's University Health Network, Bethlehem, PA, USA.
FAU - Mody, Pooja
AU  - Mody P
AD  - Division of Bariatric Surgery, Department of Surgery, St. Luke's University 
      Hospital and Network, Bethlehem, PA, USA.
FAU - Estep, Allison
AU  - Estep A
AD  - Division of Bariatric Surgery, Department of Surgery, St. Luke's University 
      Hospital and Network, Bethlehem, PA, USA.
FAU - Stoltzfus, Jill
AU  - Stoltzfus J
AD  - Department of Research and Innovation, St. Luke's University Health Network, 
      Bethlehem, PA, USA.
FAU - El Chaar, Maher
AU  - El Chaar M
AUID- ORCID: 0000-0001-5143-9257
AD  - Division of Bariatric Surgery, Department of Surgery, St. Luke's University 
      Hospital and Network, Bethlehem, PA, USA. Maher.Elchaar@sluhn.org.
LA  - eng
PT  - Journal Article
DEP - 20221226
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - Humans
MH  - *Obesity, Morbid/surgery
MH  - Retrospective Studies
MH  - *Bariatric Surgery/methods
MH  - *Gastric Bypass/methods
MH  - *Robotics
MH  - Gastrectomy/methods
MH  - *Laparoscopy/methods
MH  - Treatment Outcome
PMC - PMC9792156
OTO - NOTNLM
OT  - Bariatric surgery
OT  - Bariatrics
OT  - Biliopancreatic diversion with duodenal switch
OT  - Duodeno-ileostomy
OT  - Laparoscopy
OT  - Revisional bariatric surgery
OT  - Robotic utilization
OT  - Robotics
OT  - Roux-en-Y gastric bypass
OT  - Sleeve gastrectomy
COIS- Wayne B. Bauerle, Pooja Mody, Allison Estep, and Jill Stoltzfus declare no 
      competing interests. Maher El Chaar is a consultant at Intuitive Surgical and 
      receives honoraria for lectures, presentations, and educational events.
EDAT- 2022/12/27 06:00
MHDA- 2023/02/03 06:00
PMCR- 2022/12/26
CRDT- 2022/12/26 23:30
PHST- 2022/08/03 00:00 [received]
PHST- 2022/11/27 00:00 [accepted]
PHST- 2022/11/21 00:00 [revised]
PHST- 2022/12/27 06:00 [pubmed]
PHST- 2023/02/03 06:00 [medline]
PHST- 2022/12/26 23:30 [entrez]
PHST- 2022/12/26 00:00 [pmc-release]
AID - 10.1007/s11695-022-06378-1 [pii]
AID - 6378 [pii]
AID - 10.1007/s11695-022-06378-1 [doi]
PST - ppublish
SO  - Obes Surg. 2023 Feb;33(2):482-491. doi: 10.1007/s11695-022-06378-1. Epub 2022 Dec 
      26.