We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Role of Robotic Surgery in Complex Revisional Bariatric Procedures.
- Authors
Cheng, Yilon Lima; Elli, Enrique F.
- Abstract
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.
- Subjects
FLORIDA; MAYO Clinic; GASTRIC banding; SURGICAL robots; GASTRIC bypass; SLEEVE gastrectomy; BARIATRIC surgery; ELECTRONIC health records
- Publication
Obesity Surgery, 2021, Vol 31, Issue 6, p2583
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05272-6