ArticleSurgical endoscopy2021
Trends in the utilization and perioperative outcomes of primary robotic bariatric surgery from 2015 to 2018: a study of 46,764 patients from the MBSAQIP data registry.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Costs of robotic and laparoscopic bariatric surgery: a systematic review and meta-analysis.Surgical endoscopy · 2025Pooled it
- Emerging multi-port soft tissue robotic systems: a systematic review of clinical outcomes.Journal of robotic surgery · 2024Pooled it
- Procedure-specific outcomes of robotic versus laparoscopic Roux-en-Y gastric bypass and biliopancreatic diversion with duodenal switch across a decade of MBSAQIP adoption.Journal of robotic surgery · 2026Article
- Safety, feasibility, and early outcomes of one hundred robotic bariatric procedures at a high-volume center.Updates in surgery · 2026Article
- Robotic-Assisted Bariatric Surgery Compared to Standard Laparoscopy-Utilization Trends, Outcomes, and Operative Times: MBSAQIP Data from 2018 to 2021.Obesity surgery · 2026Article
- Recent Advances in Metabolic and Bariatric Surgery: A Narrative Review of Therapeutic Strategies for Weight Loss and Metabolic Health.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Review
- Evaluating National Trends in Bleeding Associated with Metabolic Bariatric Surgery over 7 Years.Obesity surgery · 2025Article
- Gastric bypass performed with different surgical platforms during different periods.Journal of robotic surgery · 2025Article
- Racial disparities in the utilization and outcomes of robotic bariatric surgery: an 8-year analysis of Metabolic and Bariatric Surgery Accreditation Quality Improvement Program data.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025Article
- Six-year analysis of 30-day post-operative leaks for primary sleeve gastrectomy: a MBSAQIP database study.Surgical endoscopy · 2024Article
- Robotic bariatric surgery reduces morbidity for revisional gastric bypass when compared to laparoscopic: outcome of 8-year MBSAQIP analysis of over 40,000 cases.Surgical endoscopy · 2024Article
- Costs of Robotic and Laparoscopic Bariatric Surgery: A Retrospective Propensity Score-matched Analysis.Obesity surgery · 2024Article
- Hospital charges for laparoscopic sleeve gastrectomy compared to robotic sleeve gastrectomy: a multicenter study.Surgical endoscopy · 2024Article
- Predictors and Outcomes Associated with Bariatric Robotic Delivery: An MBSAQIP Analysis of 318,151 Patients.Journal of clinical medicine · 2024Article
- The downtrending cost of robotic bariatric surgery: a cost analysis of 47,788 bariatric patients.Journal of robotic surgery · 2024Article
- Use of targeted educational resources to improve robotic bariatric surgery training.Surgical endoscopy · 2024Article
- Outcomes of totally robotic Roux-en-Y gastric bypass in patients with BMI ≥ 50 kg/mJournal of robotic surgery · 2023Article
- Mind the Overlap! Meta-Analyses That Synthesize the Findings of Primary Studies Based on Large Data Registries: the Case of Metabolic and Bariatric Surgery.Obesity surgery · 2023Article
- Improving Operating Room Efficiency of Robotic-Assisted Metabolic and Bariatric Surgery Through Standardization.Obesity surgery · 2023Article
- Changes in utilization of robotic bariatric surgery and effect on patient outcomes from 2015-2020.Journal of robotic surgery · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUtilization of robotic surgery has increased over time. Outcomes in bariatric surgery have been variable. This study used the Metabolic and Bariatric Surgery Accreditation Quality and Improvement Program (MBSAQIP) dataset to compare nationwide trends in utilization and outcomes improvement for robotic and laparoscopic bariatric surgery over a four-year period.
methodsWe identified all adult patients who underwent robotic or laparoscopic primary sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) from 2015 to 2018. Those with previous bariatric/foregut surgery or open conversion were excluded. Trends in clinical outcomes of different surgery types over years were compared through multivariable regression models. Subgroup analysis was performed for patients in 2018, comparing outcomes among different surgery types.
resultsA total of 571,417 patients underwent bariatric surgery, of which 46,764 (8.2%) were performed robotically. Utilization of the robotic platform increased annually, from 6.7% in 2015 to 10.3% in 2018 (p < 0.0001). The majority of patients underwent SG (n = 33,891, 72.5%). Perioperative outcomes improved over time for both robotic and laparoscopic procedures. Improvement was more pronounced in the robotic cohort for extended length of stay (OR 0.76 vs 0.8, p < 0.0001) and operative time (OR 0.98 vs 0.99, p < 0.0001). In the 2018 subgroup, multivariable analysis found laparoscopic RYGB was associated with increased bleeding (OR 2.220, p = 0.0004), overall complications (OR 1.356, p = 0.0013), and extended LOS (OR 1.178, p < 0.0001) compared to robotic surgery. Laparoscopic SG was associated with decreased anastomotic/staple line leak (OR 0.718, p = 0.0321), 30-d readmission (OR 0.826, p = 0.0005), 30-d reintervention (OR 0.723, p = 0.0014), overall event (OR 0.862, p = 0.0009), and extended LOS (OR 0.950, p = 0.0113). Across the board, laparoscopic surgery was associated with decreased operative time (Adjusted Ratio = 0.704, p < 0.0001).
conclusionRobotic utilization for bariatric surgery is increasing and outcomes continue to improve with time. There is a differential impact of the robotic approach on SG and RYGB, which requires further assessment.
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