Robotic platform for gastric bypass is associated with more resource utilization: an analysis of MBSAQIP dataset

Dec 26, 2017Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Robotic gastric bypass uses more resources based on MBSAQIP data

AI simplified

GLP-1 Therapies on OpenScience ↗PubMed ↗DOI ↗

Abstract

A total of 36,158 patients were analyzed, revealing 7.4% underwent robot-assisted Roux-en-Y gastric bypass (RA-RYGB).

RA-RYGB was linked to a longer median operative time of 136 minutes compared to 107 minutes for laparoscopic Roux-en-Y gastric bypass (LRYGB).
The 30-day readmission rate was higher for RA-RYGB at 7.3% versus 6.2% for LRYGB.
There were no significant differences in all-cause morbidity (10.6% for RA-RYGB vs. 10.7% for LRYGB), serious morbidity, mortality, unplanned ICU admissions, reoperation, or reintervention rates within 30 days post-surgery.
Further studies are needed to clarify the role of robotic platforms in bariatric surgery.

AI simplified

BACKGROUND: The current literature comparing robot-assisted Roux-en-Y gastric bypass (RA-RYGB) and laparoscopic Roux-en-Y gastric bypass (LRYGB) is limited to single center retrospective series.

OBJECTIVES: This study aims to compare perioperative outcomes of patients who underwent RA-RYGB with those who underwent LRYGB.

SETTING: National database.

METHODS: Data on patients who underwent RA-RYGB and LRYGB were extracted from the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program participant use file. A 1:8 propensity score matching (RA-RYGB:LRYGB) was performed, and the 30-day outcomes of the propensity-matched cohorts were compared.

RESULTS: In total, 36,158 patients met inclusion criteria, including 2660 RA-RYGB (7.4%) cases, which were propensity matched (1:8) with 21,280 LRYGB cases having similar preoperative characteristics. RA-RYGB was associated with longer median operative time (136 versus 107 min; P<.001) and a higher 30-day readmission rate (7.3% versus 6.2%; P = .03). There were no statistical differences between the RA-RYGB and LRYGB cohorts with respect to all-cause morbidity (10.6% versus 10.7%; P = .8), serious morbidity (1.2% versus 1.7%; P = .07), mortality (0.1% versus .2%; P = .2), unplanned intensive care unit admission (1.1% versus 1.3%; P = .3), reoperation (2.4% versus 2.4%; P = .97), or reintervention (3.0% versus 2.5%; P = .2) within 30 days after surgery.

CONCLUSION: Based on available national data, RA-RYGB appears safe compared with a conventional laparoscopic approach for gastric bypass. However, RA-RYGB was associated with longer operative time and higher readmission rate, indicating greater resource use. Further studies are needed to better delineate the role of robotic platforms in bariatric surgery.

Full Text

Full text is available at the source.

View full text (XML) ↗View full text ↗

Robotic platform for gastric bypass is associated with more resource utilization: an analysis of MBSAQIP dataset

Abstract

Full Text

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the glp-1 therapies brief

Abstract

Full Text

Related papers

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the glp-1 therapies brief