{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T22:41:32Z","timestamp":1792363292805,"version":"4.4.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T00:00:00Z","timestamp":1721260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T00:00:00Z","timestamp":1721260800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Bariatric surgery is considered the main treatment option for patients with severe obesity. The objective of our study is to compare intra- and postoperative outcomes between the robotic and laparoscopic approaches within the sleeve gastrectomy (SG), duodenal switch (DS), and Roux-en-Y gastric bypass (RYGB).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and Methods<\/jats:title>\n                <jats:p>The data from the MBSAQIP were collected for patients who underwent SG, DS, and RYGB between 2015 and 2021. The postoperative and procedural outcomes including 30-day morbidity and mortality as well as operation length were analyzed using regression models.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Our analysis included 1,178,886 surgeries with SG comprising the majority (70%) followed by RYGB (28%) and DS (1%). Other than a higher adjusted risk of unplanned reoperation for robotic RYGB (relative risk (RR) 1.07) and a statistically significant higher rate of postoperative wound disruption in robotic SG for robotic surgery (RR 1.56), there were no statistically significant between-approach differences including infection, wound disruption, death, or reoperation for DS, RYGB, or SG. Our data showed no significant difference in anastomotic leak rate between laparoscopic and robotic approaches in either the DS (<jats:italic>p<\/jats:italic>\u2009=\u20090.521) or RYGB (<jats:italic>p<\/jats:italic>\u2009=\u20090.800) procedures. Across our study period, the median operation lengths decreased significantly per year for both the robotic SG and DS.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Robotic and laparoscopic bariatric surgical procedures have statistically similar 30-day patient outcomes. Robotic bariatric procedures do have significantly longer median operative times than laparoscopic procedures. The decision to use a robotic approach or laparoscopic approach should be made based upon surgeon experience and possibly cost.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphical Abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1007\/s11695-024-07368-1","type":"journal-article","created":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T07:01:48Z","timestamp":1721286108000},"page":"2954-2964","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Robotic-Assisted and Laparoscopic Bariatric Surgeries Still Have Clinically Comparable Outcomes"],"prefix":"10.1007","volume":"34","author":[{"given":"Clay L.","family":"Cashman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swapnil V.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander G.","family":"Hall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan W.","family":"Walters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8500-8081","authenticated-orcid":false,"given":"Kalyana C.","family":"Nandipati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,18]]},"reference":[{"key":"7368_CR1","unstructured":"Centers for Disease Control and Prevention. (2022, May 17). Adult obesity facts. Retrieved August 28, 2022, from https:\/\/www.cdc.gov\/obesity\/data\/adult.html"},{"key":"7368_CR2","unstructured":"Mayo Foundation for Medical Education and Research. (2021, September 18). Bariatric surgery. Mayo Clinic. Retrieved August 28, 2022, from https:\/\/www.mayoclinic.org\/tests-procedures\/bariatric-surgery\/about\/pac-20394258#:~:text=Who%20it's%20for,pressure%20or%20severe%20sleep%20apnea."},{"key":"7368_CR3","doi-asserted-by":"publisher","unstructured":"Jung MK, Hagen ME, Buchs NC, et al. (2017). Robotic bariatric surgery: a general review of the current status.Int J Med Robotics Comp Assisted Surg, 13(4). https:\/\/doi.org\/10.1002\/rcs.1834","DOI":"10.1002\/rcs.1834"},{"key":"7368_CR4","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1007\/s00464-018-6387-6","volume":"33","author":"R Fazl Alizadeh","year":"2019","unstructured":"Fazl Alizadeh R, Li S, Inaba CS, et al. Robotic versus laparoscopic sleeve gastrectomy: a MBSAQIP analysis. Surg Endosc. 2019;33:917\u201322. https:\/\/doi.org\/10.1007\/s00464-018-6387-6.","journal-title":"Surg Endosc"},{"key":"7368_CR5","doi-asserted-by":"publisher","first-page":"1600","DOI":"10.1007\/s00464-018-6422-7","volume":"33","author":"R Sebastian","year":"2019","unstructured":"Sebastian R, Howell MH, Chang KH, et al. Robot-assisted versus laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy: a propensity score-matched comparative analysis using the 2015\u20132016 MBSAQIP database. Surg Endosc. 2019;33:1600\u201312. https:\/\/doi.org\/10.1007\/s00464-018-6422-7.","journal-title":"Surg Endosc"},{"key":"7368_CR6","unstructured":"ACS-MBSAQIP database (2015\u20132020) Metabolic and bariatric surgery accreditation and quality improvement program (MBSAQIP). Participant Use Data File (PUF) | ACS (facs.org). Accessed 17 March 2023."},{"key":"7368_CR7","doi-asserted-by":"publisher","first-page":"3706","DOI":"10.1007\/s11695-020-04712-z","volume":"30","author":"M Dudash","year":"2020","unstructured":"Dudash M, Kuhn J, Dove J, et al. The longitudinal efficiency of robotic surgery: an MBSAQIP propensity matched 4-year comparison of robotic and laparoscopic bariatric surgery. Obes Surg. 2020;30:3706\u201313. https:\/\/doi.org\/10.1007\/s11695-020-04712-z.","journal-title":"Obes Surg"},{"issue":"3","key":"7368_CR8","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1016\/j.soard.2017.11.018","volume":"14","author":"G Sharma","year":"2018","unstructured":"Sharma G, Strong AT, Tu C, et al. Robotic platform for gastric bypass is associated with more resource utilization: an analysis of MBSAQIP dataset. Surg Obesity Related Diseas. 2018;14(3):304\u201310. https:\/\/doi.org\/10.1016\/j.soard.2017.11.018.","journal-title":"Surg Obesity Related Diseas"},{"key":"7368_CR9","doi-asserted-by":"publisher","first-page":"854","DOI":"10.1007\/s11695-020-05055-5","volume":"31","author":"T Scarritt","year":"2021","unstructured":"Scarritt T, Hsu CH, Maegawa FB, et al. Trends in utilization and perioperative outcomes in robotic-assisted bariatric surgery using the MBSAQIP database: a 4-year analysis. Obes Surg. 2021;31:854\u201361. https:\/\/doi.org\/10.1007\/s11695-020-05055-5.","journal-title":"Obes Surg"},{"issue":"9","key":"7368_CR10","doi-asserted-by":"publisher","first-page":"2589","DOI":"10.1007\/s11695-018-3228-6.PMID:29637410;PMCID:PMC6132787","volume":"28","author":"T Rogula","year":"2018","unstructured":"Rogula T, Koprivanac M, Janik MR, et al. Does robotic Roux-en-Y gastric bypass provide outcome advantages over standard laparoscopic approaches? Obes Surg. 2018;28(9):2589\u201396. https:\/\/doi.org\/10.1007\/s11695-018-3228-6.PMID:29637410;PMCID:PMC6132787.","journal-title":"Obes Surg"},{"key":"7368_CR11","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1155\/2013\/974762","volume":"974762","author":"B Anderson","year":"2013","unstructured":"Anderson B, Gill RS, de Gara CJ, et al. (2013) Biliopancreatic diversion: the effectiveness of duodenal switch and its limitations. Gastroenterol Res Practice. 2013;974762:8. https:\/\/doi.org\/10.1155\/2013\/974762.","journal-title":"Gastroenterol Res Practice"},{"issue":"4","key":"7368_CR12","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1007\/s00464-011-2008-3","volume":"26","author":"NC Buchs","year":"2012","unstructured":"Buchs NC, Pugin F, Bucher P, et al. Learning curve for robot-assisted Roux-en-Y gastric bypass. Surg Endosc. 2012;26(4):1116\u201321. https:\/\/doi.org\/10.1007\/s00464-011-2008-3.","journal-title":"Surg Endosc"},{"issue":"3","key":"7368_CR13","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1007\/s11605-022-05548-x","volume":"27","author":"JA Klock","year":"2022","unstructured":"Klock JA, Walters RW, Nandipati KC. Robotic hiatal hernia repair associated with higher morbidity and readmission rates compared to laparoscopic repair: 10-year analysis from the National Readmissions Database (NRD). J Gastrointest Surg. 2022;27(3):489\u201397. https:\/\/doi.org\/10.1007\/s11605-022-05548-x.","journal-title":"J Gastrointest Surg"},{"issue":"6","key":"7368_CR14","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1016\/j.soard.2019.03.022","volume":"15","author":"B Clapp","year":"2019","unstructured":"Clapp B, Liggett E, Jones R, et al. Comparison of robotic revisional weight loss surgery and laparoscopic revisional weight loss surgery using the MBSAQIP database. Surg Obesity Related Diseases. 2019;15(6):909\u201319. https:\/\/doi.org\/10.1016\/j.soard.2019.03.022.","journal-title":"Surg Obesity Related Diseases"},{"issue":"6","key":"7368_CR15","doi-asserted-by":"publisher","first-page":"1340","DOI":"10.1016\/j.surg.2023.02.016","volume":"173","author":"AP Ng","year":"2023","unstructured":"Ng AP, Sanaiha Y, Bakhtiyar SS, et al. National analysis of cost disparities in robotic-assisted versus laparoscopic abdominal operations. Surgery. 2023;173(6):1340\u20135. https:\/\/doi.org\/10.1016\/j.surg.2023.02.016.","journal-title":"Surgery"},{"key":"7368_CR16","doi-asserted-by":"publisher","unstructured":"Shanmugam VK, Fernandez SJ, Evans KK, et al. (2015) Postoperative wound dehiscence: predictors and associations. Wound Repair Regen. 23(2):184\u201390. https:\/\/doi.org\/10.1111\/wrr.12268","DOI":"10.1111\/wrr.12268"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-024-07368-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-024-07368-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-024-07368-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T18:37:47Z","timestamp":1722364667000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11695-024-07368-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,18]]},"references-count":16,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["7368"],"URL":"https:\/\/doi.org\/10.1007\/s11695-024-07368-1","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,18]]},"assertion":[{"value":"30 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 June 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 June 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 July 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This project was acknowledged as not human subjects research by the Institutional Review Board at Creighton University (InfoEd record number, 2003469).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"For this type of study, formal consent is not required. Informed consent does not apply.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"Clay L. Cashman, Swapnil V. Shah, Alexander G. Hall, and Ryan W. Walters \u2014 no conflict of interest. Kalyana C. Nandipati \u2014 proctor for Intuitive Surgical. The authors declare that they have no conflict of interest with the current project.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}}]}}