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Short-Term Outcomes in Robotic Gastric Bypass Patients
Joshua R. Karas^*, Alex Barkan, Patricia D. Cherasard, Collin E. Brathwaite, Keneth N. Hall
Surgery, Winthrop University Hospital, Mineola, NY

Purpose: This study was designed to evaluate the short-term outcomes of patients undergoing robotic roux y gastric bypass (RRYGB). Methods: Prospectively collected data on consecutive obese patients undergoing RGBRY were reviewed. RRYGB was performed by two surgeons in a single institution utilizing sequential standardized technical steps. Data collected included demographics, American Society of Anesthesiology (ASA) Score, perioperative outcomes and 30-day follow-up. Reoperation was defined as any endoscopic and/or surgical intervention after the initial procedure. Anastomotic leak was defined as presence of intestinal contents or contrast medium in the abdomen on upper GI series, with intra-abdominal abscess detected by CT scan. Values are medians (ranges).
Results: From November 2009 to September 2013, 196 (136 women, 60 males) obese patients aged 45(17-73) years with a BMI of 46.6 (36-72.2), and ASA score of 3 (2-4) underwent RRYGB. 45% of patients had previous abdominal surgery. Adverse event rate was 3.0 %. These included pneumonias (2), surgical site infection (1), deep venous thrombosis (1) and anastomotic ulcers (2). Thirteen patients required reoperation (3 anastomotic leaks, 4 gastrojejunal anastomotic revisions, 5 upper endoscopies for stricture and one exploratory laparotomy for strangulated hernia). Two patients required conversion to laparoscopic RYGB. There were no mortalities. Length of stay was 3 (2-7) days. The readmission rate was 4.0%.
Conclusions: Robotic gastric bypass roux y resulted in a safe procedure with acceptable short-term perioperative outcomes

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