ArticleSurgical endoscopy2026
Rise of robotic sleeve gastrectomy fails to show improved outcomes versus laparoscopy analysis of 9 years of MBSAQIP data including over half a million patients.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
3 authors.
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Abstract
backgroundSleeve gastrectomy (SG) is the most common bariatric procedure worldwide. While robotic sleeve gastrectomy (RSG) offers potential technical advantages over the laparoscopic approach (LSG), concerns remain regarding its impact on surgical outcomes and temporal trends. This study aimed to compare the frequency and risk of postoperative outcomes between RSG and LSG.
methodsA retrospective analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database was conducted, including patients from 2015 to 2023 who underwent primary SG without concomitant procedures. The primary outcome was overall postoperative complications (OPC). Secondary outcomes included staple line complications (SLC: gastrointestinal bleeding and leaks) and unplanned healthcare utilization (UHCU). Temporal trends were analyzed through linear correlation analysis (R
resultsA total of 567,199 patients were included, of whom 81.3% (n = 461,343) underwent LSG and 18.7% (n = 105,856) underwent RSG. Most patients were female (79.7%, n = 452,009) with a mean age of 42.4 ± 11.8 years and a mean BMI of 45.3 ± 7.9 kg/m
conclusionsRobotic sleeve gastrectomy was associated with a higher frequency of OPC and UHCU, although the absolute risk increase was small. No significant differences were observed in SLC. Additionally, an increasing trend in OPC was noted in recent years, which was more pronounced in the RSG group.
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