Perioperative outcomes and anesthetic considerations of robotic bariatric surgery in a propensity-matched cohort of super obese and super-super obese patients

Surgical Endoscopy
Katherine D GrayCheguevara Afaneh

Abstract

The use of the robotic platform has not been well established in patients with super obesity (SO; body mass index, BMI ≥ 50) and super-super obesity (SSO, BMI ≥ 60). We aimed to determine safety and feasibility of robotic bariatric surgery in this cohort. Review of a prospectively maintained database was performed of consecutive patients undergoing robotic bariatric surgery between 2015 and 2017. Propensity score analysis with 1:2 nearest neighbor matching was performed to control for baseline characteristics and procedure type. A propensity-matched cohort of 47 SO patients (median BMI 55.3, range 50.1-92.5) and 94 morbidly obese (MO; median BMI 41.8, range 35.1-48.8) patients were analyzed. After matching, there were no difference in baseline characteristics including age, American Society of Anesthesiologists (ASA) score, or preoperative comorbidities. Most patients in each group underwent sleeve gastrectomy (81% of SO patients versus 76% of MO patients) or Roux-en-Y gastric bypass (13% vs. 18%, respectively), p = 0.66. There were no differences in operative time, intraoperative complications, postoperative complications, or re-admissions between groups. Length of stay was slightly longer in the MO group (2.2 days, IQR 1.8-3....Continue Reading

References

Aug 24, 2007·The New England Journal of Medicine·Lars SjöströmUNKNOWN Swedish Obese Subjects Study
Mar 30, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Subhashini AylooPier C Giulianotti
Nov 25, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·S R MarkarP Ziprin
Nov 29, 2012·Obesity Surgery·Nicolas C BuchsPhilippe Morel
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Sep 17, 2014·Current Opinion in Anaesthesiology·Hairil R Abdullah, Frances Chung
Mar 3, 2015·Journal of the American College of Surgeons·Brian J DaleyOscar D Guillamondegui
Apr 22, 2015·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Nicolas C BuchsPhilippe Morel
Apr 22, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Marco BarrecaNeel Sengupta
Feb 16, 2017·The New England Journal of Medicine·Philip R SchauerUNKNOWN STAMPEDE Investigators
Oct 2, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Manish ParikhH Leon Pachter
Dec 19, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Aly ElbahrawyAmin Andalib

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Citations

Aug 3, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Eric VeilleuxRami Lutfi
Mar 31, 2021·Obesity Surgery·Francesca M DimouShaina R Eckhouse

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