About: Outcomes in conventional laparoscopic versus robotic-assisted primary bariatric surgery: a retrospective, case

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About: Outcomes in conventional laparoscopic versus robotic-assisted primary bariatric surgery: a retrospective, case–controlled study of the MBSAQIP database Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Outcomes in conventional laparoscopic versus robotic-assisted primary bariatric surgery: a retrospective, case–controlled study of the MBSAQIP database
Creator	Edwards, Michael Acevedo, Edwin Lu, Xiaoning Mazzei, Michael Zhao, Huaqing Soans, Rohit
topic	covid:8ccbbcecf0163585eeb3fe5e7dcb1ff8f8417a46#this
Source	PMC
abstract	INTRODUCTION: Robotic-assisted bariatric surgery is increasingly performed. There remains controversy about the overall benefit of robotic-assisted (RBS) compared to conventional laparoscopic (LBS) bariatric surgery. In this study, we used a large national risk-stratified bariatric clinical database to compare outcomes between robotic and laparoscopic gastric bypass (RNYGB) and sleeve gastrectomy (SG). METHODS: A retrospective analysis of the 2015 and 2016 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Participant Use Data File (PUF) was performed. Primary robotic and laparoscopic RYNGB and SG were analyzed. Descriptive analysis was performed of the unmatched cohorts, followed by 1:3 case-controlled matching. Cases and controls were matched by patient demographics and pre-operative comorbidities, and peri-operative outcomes compared. RESULTS: 77,991 Roux-en-Y gastric bypass (RnYGB) (7.5% robotic-assisted) and 189,503 SG (6.8% robotic-assisted) cases were identified. Operative length was significantly higher in both the robotic-assisted RnYGB and SG cohorts (p < 0.0001). Outcomes were similar between the robotic-assisted and laparoscopic RnYGB cohorts, except a lower mortality rate (p = 0.05), transfusion requirement (p = 0.005), aggregate bleeding (p = 0.04), and surgical site infections (SSI) (p = 0.006) in the robotic-assisted cohort. Outcomes were also similar between robotic-assisted and laparoscopic SG, except for a longer length of stay (p < 0.0001) and higher rates of conversion (p < 0.0001), 30-day intervention (p = 0.01), operative drain present (p < 0.0001), sepsis (p = 0.01), and organ space SSI (p = 0.0002) in the robotic cohort. Bleeding was lower in the robotic SG cohort and mortality was similar. CONCLUSION: Both robotic-assisted and laparoscopic RnYGB and SG are overall very safe. Robotic-assisted gastric bypass is associated with a lower mortality and morbidity; however, a clear benefit for robotic-assisted SG compared to laparoscopic SG was not seen. Given the longer operative and hospital duration, robotic SG is not cost-effective. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00464-019-06915-7) contains supplementary material, which is available to authorized users.
has issue date	2019-06-17(xsd:dateTime)
bibo:doi	10.1007/s00464-019-06915-7
bibo:pmid	31209608
has license	no-cc
sha1sum (hex)	8ccbbcecf0163585eeb3fe5e7dcb1ff8f8417a46
schema:url	https://doi.org/10.1007/s00464-019-06915-7
resource representing a document's title	Outcomes in conventional laparoscopic versus robotic-assisted primary bariatric surgery: a retrospective, case–controlled study of the MBSAQIP database
has PubMed Central identifier	PMC7222911
has PubMed identifier	31209608
schema:publication	Surg Endosc
resource representing a document's body	covid:8ccbbcecf0163585eeb3fe5e7dcb1ff8f8417a46#body_text
is http://vocab.deri.ie/void#inDataset of	https://covidontheweb.inria.fr:4443/about/id/http/ns.inria.fr/covid19/8ccbbcecf0163585eeb3fe5e7dcb1ff8f8417a46
is schema:about of	named entity 'compare' named entity 'robotic' named entity 'Cases' named entity 'Use' named entity 'compared' named entity 'patient' named entity 'morbidity' named entity 'cases' named entity 'cohort' named entity 'hospital' named entity 'aggregate' named entity 'Outcomes' named entity 'ORGAN' named entity '2015' named entity 'COHORT' named entity 'CONVERSION' named entity 'MORTALITY RATE' named entity '0.005' named entity 'USED' named entity 'SIMILAR' named entity 'QUALITY IMPROVEMENT' named entity 'NOT SEEN' named entity 'INTERVENTION' named entity 'OVERALL' named entity 'CONCLUSION' named entity 'CONTROVERSY' named entity 'CONTROLS' named entity 'SAFE' named entity 'MATCHING' named entity 'ASSOCIATED WITH' named entity 'SURGICAL SITE' covid:arg/8ccbbcecf0163585eeb3fe5e7dcb1ff8f8417a46 named entity 'robotic-assisted' named entity 'controls' named entity 'bleeding' named entity 'SSI' named entity 'drain' named entity 'Data' named entity 'Descriptive' named entity 'Accreditation' named entity 'bariatric' named entity 'robotic-assisted' named entity 'performed' named entity 'conversion' named entity 'space' named entity 'laparoscopic' named entity 'robotic-assisted' named entity 'laparoscopic' named entity 'comorbidities' named entity 'cost-effective' named entity 'robotic-assisted' named entity 'transfusion' named entity 'database' named entity 'case-controlled' named entity 'robotic-assisted' named entity 'Introduction' named entity 'case-control' named entity 'laparoscopic' named entity 'sleeve gastrectomy' named entity 'gastric bypass' named entity 'bariatric surgery' named entity 'heterogeneity' named entity 'Post-operative' named entity 'peri-operative' named entity 'post-operative' named entity 'sepsis' named entity 'metabolic' named entity 'CPR' named entity 'laparoscopic' named entity 'gastric bypass' named entity 'BMI' named entity 'laparoscopic' named entity 'robotic-assisted' named entity 'gastric bypass'

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