Outcomes of primary versus revisional robotically assisted laparoscopic Roux-en-Y gastric bypass: a multicenter analysis of ten-year experience
| Autor: | Thomas Nguyen, Kulvinder S. Bajwa, Kavita D. Chandwani, Leon V Katz, Stephan R. Myers, Brad Snyder, Connie L Klein, Melissa M. Felinski, David Talarico, Shinil K. Shah, Angielyn R Rivera, Erik B. Wilson, John Fam, Sheilendra S. Mehta, Peter A. Walker, Pouya Iranmanesh, Todd D Wilson |
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| Rok vydání: | 2020 |
| Předmět: |
Reoperation
medicine.medical_specialty Gastric bypass Gastroplasty medicine.medical_treatment 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Laparotomy Internal medicine Weight Loss medicine Humans Robotic surgery 2020 SAGES Oral Prospective cohort study Retrospective Studies Revisional bariatric surgery business.industry nutritional and metabolic diseases Retrospective cohort study Hepatology Roux-en-Y anastomosis humanities Obesity Morbid Surgery body regions Treatment Outcome Laparoscopy 030211 gastroenterology & hepatology Complication business Abdominal surgery |
| Zdroj: | Surgical Endoscopy (2020) Surgical Endoscopy |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | Background Postoperative morbidity after laparoscopic bariatric surgery is considered higher for patients undergoing revisional versus primary procedures. The objective of this retrospective cohort study was to compare outcomes between patients undergoing primary versus revisional robotically assisted laparoscopic (RAL) Roux-en-Y gastric bypass (RYGB). Methods Data of all patients who underwent RAL primary and revisional RYGB between 2009 and 2019 at two accredited, high-volume bariatric surgery centers—the Memorial Hermann – Texas Medical Center, Houston, TX, and the Tower Health, Reading Hospital, Reading, PA, were analyzed. Primary outcomes were early ( Results Data of 1072 patients were analyzed, including 806 primary and 266 revisional RAL RYGB procedures. Longer operative times (203 versus 154 min, P P = 0.101). Early (P = 0.318). There were no statistically significant differences between groups in overall and severe complication rates. Conclusion Patients undergoing RAL primary and revisional RYGB had comparable overall outcomes, with a non-significant higher early complication rate in the revisional group. Despite the study being underpowered to detect differences in specific complication rates, the morbidity seen in the revisional RYGB group remains markedly below literature reports of revisional laparoscopic RYGB and might suggest a benefit of robotic assistance. Further prospective studies are needed to confirm these results. |
| Databáze: | OpenAIRE |
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