Trends in Utilization and Perioperative Outcomes in Robotic-assisted Bariatric surgery using the MBSAQIP database: A 4-Year Analysis
Trends in Utilization and Perioperative Outcomes in Robotic-assisted Bariatric surgery using the MBSAQIP database: A 4-Year Analysis
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DOI：
10.1007/s11695-020-05055-5
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发表时间：
2020-11-09
期刊：
影响因子：
2.9
通讯作者：
Ghaderi, Iman
中科院分区：
文献类型：
--
作者：
Scarritt, Thomas;Hsu, Chiu-Hsieh;Ghaderi, Iman
目的：机器人辅助手术在外科专科中越来越受欢迎。我们的目的是分析全国减肥手术的利用和结果的趋势。材料和方法：查询2015-2018年代谢和减肥手术认证和质量改进计划（MBSAQIP（R））数据。我们纳入了机器人辅助袖状胃切除术（SG）、Roux-en-Y胃旁路术（RYGB）、可调节胃束带术（AGB）、胆胰分流术联合十二指肠转位术（BPD-DS）和翻修病例。使用Kruskal-Wallis检验或Wilcoxon秩和比较连续变量，使用Cochran-Armitage趋势分析比较分类变量（比较年份），或使用Fisher精确检验直接比较分类。结果：在2015年至2018年期间进行的760，076例减肥病例中，7.4%采用机器人方法，90.4%采用腹腔镜方法。SG占机器人体积的61.3%。机器人手术的使用增加了1.96倍; SG代表了最大的2.16倍增长，其次是RYGB的1.53倍。30天再入院率和再干预率从5.63%下降到4.78%（p
Purpose: Robotic-assisted surgery has become increasingly popular across surgical subspecialties. We aimed to analyze trends in the national utilization and outcomes in bariatric surgery. Materials and Methods: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP (R)) data for 2015-2018 was queried. We included robotic-assisted sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), adjustable gastric band (AGB), biliopancreatic diversion with duodenal switch (BPD-DS), and revisional cases. The Kruskal-Wallis test or Wilcoxon rank-sum were used for comparing continuous variables and Cochran-Armitage trend analysis for categorical variables when comparing years, or with Fisher's Exact Test when directly comparing categories. Results: Of 760,076 bariatric cases performed between 2015 and 2018, 7.4% with robotic and 90.4% with laparoscopic approach. SG constituted 61.3% of robotic volume. Utilization of robotic surgery increased 1.96-fold; SG represented the most substantial increase of 2.16-fold, followed by a 1.53-fold in RYGB. The 30-day readmission and re-intervention rates decreased from 5.63% to 4.78% (p