Conversions to open surgery greatly increase complications: an analysis of the MBSAQIP database.

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Benjamin ClappAlan Tyroch

Abstract

The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database tracks patients, techniques, and outcomes for 30 days. The overwhelming majority of cases reported are performed using a laparoscopic technique. Bariatric surgeons rarely have to convert from laparoscopy to open surgery. We examined the MBSAQIP to determine the characteristics of patients who underwent conversion and evaluated their short-term outcomes. University program in the United States and nationwide clinical database. The MBSAQIP Public Use File for 2017 was examined for primary bariatric operations. We identified patients who underwent a sleeve gastrectomy or gastric bypass using a minimally invasive technique. We identified patients who underwent conversion to another operative technique or were converted to open surgery and analyzed preoperative characteristics and postoperative complication rates. Relative risks (RR) were calculated for complications. P value was significant at < .05. There were 186,962 patients in the entire cohort. Six hundred nine patients underwent conversion from the original surgical approach to either open surgery (n = 457) or to another technique (n = 152). Patients with preoperative oxygen d...Continue Reading

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