PMID- 37515695
OWN - NLM
STAT- MEDLINE
DCOM- 20230818
LR  - 20230819
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 33
IP  - 9
DP  - 2023 Sep
TI  - Outcomes of Staple Line Reinforcement Following Robotic Assisted Sleeve 
      Gastrectomy Based on MBSAQIP Database.
PG  - 2662-2670
LID - 10.1007/s11695-023-06740-x [doi]
AB  - INTRODUCTION: The objective of this study is to evaluate the outcomes for Staple 
      Line Reinforcement (SLR) in RA-SG based on the Metabolic and Bariatric Surgery 
      Accreditation and Quality Improvement Program (MBSAQIP) database for 2019. 
      MATERIALS AND METHODS: We selected patients who underwent RA-SG in the MBSAQIP 
      PUF (Public Utility File) for the year 2019 and grouped them based on their SLR 
      status: Oversewing (OS), Buttressing (BR), both OS and BR and neither. Our 
      primary outcomes were bleeding, organ space infection (OSI), and adverse events 
      (AEs), and our secondary outcomes were operation length, hospital length of stay, 
      readmissions, and conversion to open rates. We conducted separate chi square or 
      one-way analysis of variance (ANOVA) as appropriate and multivariable direct 
      logistic regression models for the categorical outcomes. RESULTS: We found 
      115,621 patients with complete data of which there were 16,494 who underwent 
      RA-SG. Our results did not show a statistically significant decrease in incidence 
      of postoperative bleeding for BR and OS (Adjusted OR = 0.782, p = 0.2291 and 
      Adjusted OR of 0.482, p = 0.054 for BR and OS respectively). There was a 
      statistically significant effect for SLR status on operation length, with OS 
      patients having the highest operative times (log-transformed mean = 2.03), 
      followed by both BR + OS patients (log-transformed mean = 1.99). BR patients had 
      the shortest operation length. CONCLUSION: SLR did not result in any significant 
      differences related to bleeding, OSI or AEs following RA-SG according to MBSAQIP 
      for the year 2019. However, OS resulted in significantly longer operative time 
      compared to BR alone.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer Science+Business 
      Media, LLC, part of Springer Nature.
FAU - Faugno-Fusci, David
AU  - Faugno-Fusci D
AD  - Department of Surgery, St Luke's University Hospital and Health Network, 1736 
      Hamilton Street, Allentown, PA, 18104, USA.
FAU - Perrone, John
AU  - Perrone J
AD  - Department of Surgery, St Luke's University Hospital and Health Network, 1736 
      Hamilton Street, Allentown, PA, 18104, USA.
FAU - Michaud, Allincia
AU  - Michaud A
AD  - St Luke's University Hospital and Health Network-Research Institute, 801 Ostrum 
      Street, Bethlehem, PA, 18015, USA.
FAU - Stoltzfus, Jill
AU  - Stoltzfus J
AD  - St Luke's University Hospital and Health Network-Research Institute, 801 Ostrum 
      Street, Bethlehem, PA, 18015, USA.
FAU - Alvarado, Luis A
AU  - Alvarado LA
AD  - St Luke's University Hospital and Health Network-Research Institute, 801 Ostrum 
      Street, Bethlehem, PA, 18015, USA.
FAU - El Chaar, Maher
AU  - El Chaar M
AUID- ORCID: 0000-0001-5143-9257
AD  - Department of Surgery, St Luke's University Hospital and Health Network, 1736 
      Hamilton Street, Allentown, PA, 18104, USA. Maher.elchaar@sluhn.org.
LA  - eng
PT  - Journal Article
DEP - 20230729
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - Humans
MH  - *Robotic Surgical Procedures/methods
MH  - *Obesity, Morbid/surgery
MH  - Quality Improvement
MH  - *Bariatric Surgery/methods
MH  - Gastrectomy/adverse effects/methods
MH  - *Laparoscopy/methods
MH  - Treatment Outcome
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Buttressing (BR)
OT  - Oversewing (OS)
OT  - Robotic Assisted (RA-) surgery
OT  - Sleeve Gastrectomy
OT  - Staple Line Reinforcement (SLR)
EDAT- 2023/07/29 21:47
MHDA- 2023/08/18 06:43
CRDT- 2023/07/29 11:08
PHST- 2023/05/12 00:00 [received]
PHST- 2023/07/14 00:00 [accepted]
PHST- 2023/07/13 00:00 [revised]
PHST- 2023/08/18 06:43 [medline]
PHST- 2023/07/29 21:47 [pubmed]
PHST- 2023/07/29 11:08 [entrez]
AID - 10.1007/s11695-023-06740-x [pii]
AID - 10.1007/s11695-023-06740-x [doi]
PST - ppublish
SO  - Obes Surg. 2023 Sep;33(9):2662-2670. doi: 10.1007/s11695-023-06740-x. Epub 2023 
      Jul 29.