Comparing Anastomotic Leak Rate Between Robotic and Laparoscopic Bariatric Procedures: A Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Database Study
摘要
In this MBSAQIP database study of over 560,000 bariatric procedures, the overall incidence of anastomotic leaks was 0.21%. Robotic sleeve gastrectomy (SG) was associated with a significantly higher leak rate compared to the laparoscopic approach. No significant differences in leak rates were observed between robotic and laparoscopic techniques for Roux-en-Y gastric bypass or duodenal switch. Prior foregut surgery and intraoperative drain placement were independently associated with increased risk of leak across all procedures.