Robotic revisional bariatric surgery: single-surgeon case series

BackgroundBariatric surgery is the only effective treatment for the long-term maintenance of significant weight loss. Minimally invasive revisional procedures are on the rise. Data is lacking in terms of safety, feasibility and outcomes with robotic revisional procedures. MethodsRobotic revisional bariatric procedures (RRBPs) of gastric band to Roux-en-Y gastric bypass and sleeve gastrectomy, revision of gastro-jejunal anastomosis and stricturoplasty performed during 2009-2013 were retrospectively reviewed. ResultsRRBPs were performed on 14 patients with mean age, pre-operative body mass index (BMI) and weight of 45.211.4years, 40.1 +/- 8.7kg/m(2) and 109.4 +/- 26kg, respectively. The mean operative time, estimated blood loss and length of hospital stay were 220.6 +/- 64.3) min, 31 +/- 22.7ml and 3.3 +/- 1.5days, respectively. There were no conversions, blood transfusions, gastrointestinal leaks, intraoperative complications or mortalities. ConclusionRRBP can be performed safely without increased morbidity and with the added benefit of a minimally invasive approach. Copyright (c) 2014 John Wiley & Sons, Ltd.