{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T09:05:20Z","timestamp":1784624720034,"version":"3.55.0"},"reference-count":43,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: The opioid epidemic has increased awareness of inpatient opioid use after surgery. Effective pain control is essential for recovery; however, factors influencing postoperative opioid requirements (PORs) remain unclear. This study examined patient-specific factors and surgical platforms associated with postoperative rescue opioid use within 48 h of bariatric surgery. Methods: A retrospective chart review was conducted on patients undergoing bariatric surgery (Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG)) from March 2021 to March 2023 at a community hospital setting. Data included demographics, comorbidities, psychiatric history, prior surgeries (cholecystectomy, hernia repair, other bariatric surgery), intraoperative parameters, postoperative disposition, hospital length of stay, and PORs measured in morphine milligram equivalents (MME). Robotic and laparoscopic surgery were compared and risk factors for increased PORs were analyzed. Results: Among 442 patients (86.7% women, mean age 42.1 \u00b1 12.0 years), robotic procedures (51.6%) had higher PORs than laparoscopic procedures (13.3 \u00b1 13.2 versus 10.1 \u00b1 11.2 MME; p &lt; 0.01), mainly driven by the SG group (14.8 \u00b1 13.3 versus 9.2 \u00b1 9.6 MME, respectively; p &lt; 0.01). In multivariable logistic regression, robotic surgery (OR 1.38, 95% CI: 1.02\u20131.88, p = 0.041), psychiatric history (OR 1.67, 95% CI: 1.11\u20132.51, p = 0.014), and prior surgery (OR 1.52, 95% CI: 1.03\u20132.24, p = 0.034) were associated with increased PORs (&gt;10 MME). No significant differences were observed based on sex, type of procedure (SG vs. RYGB), or body mass index. Conclusions: In this study, robotic surgery was associated with higher PORs. Preoperative psychiatric evaluation and multimodal pain management strategies may assist in the optimization of analgesia in patients with psychiatric conditions or prior surgery.<\/jats:p>","DOI":"10.3390\/jcm15145705","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:14:27Z","timestamp":1784621667000},"page":"5705","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative Opioid Use After Bariatric Surgery and Associated Factors: A Retrospective Comparison of Laparoscopic and Robotic Approaches"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9068-0489","authenticated-orcid":false,"given":"Maryam","family":"Hassanesfahani","sequence":"first","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9246-976X","authenticated-orcid":false,"given":"Dimitrios","family":"Giannis","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruby","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Kiarie","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiranya","family":"S","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armon","family":"Farhani","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4536-1278","authenticated-orcid":false,"given":"Benjamin","family":"Hershfeld","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Keating","sequence":"additional","affiliation":[{"name":"Department of Research, Education and Innovation, MediSys Health Network, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martine","family":"Louis","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noman","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darshak","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Flushing Hospital Medical Center, Flushing, Queens, NY 11355, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1001\/jamasurg.2021.6210","article-title":"Current Issues in the Use of Opioids for the Management of Postoperative Pain: A Review","volume":"157","author":"Macintyre","year":"2022","journal-title":"JAMA Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1016\/S0140-6736(19)30428-3","article-title":"Inappropriate Opioid Prescription after Surgery","volume":"393","author":"Neuman","year":"2019","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e70242","DOI":"10.1002\/ejp.70242","article-title":"Patient-Related Predictors of Opioid Use, Pain and Opioid-Related Adverse Events in the First 24\u2009h After Surgery: A Systematic Review and Meta-Analysis","volume":"30","author":"Folkersen","year":"2026","journal-title":"Eur. 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