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Factors Related to Bleeding and Leak Rates After Robotic Sleeve Gastrectomy

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Abstract

Background

Robotic sleeve gastrectomy has been increasing in annual incidence in recent years. Although rare, post op bleeding and leak in these cases can lead to significant morbidity, mortality, and healthcare utilization.

Objectives

To determine preop comorbidity risk factors and operative techniques associated with risk of bleeding or leak within 30 days of robotic sleeve gastrectomy.

Methods

The MBSAQIP database was analyzed. A total of 53,548 RSG cases were included in analysis. Surgeries took place from accredited centers in the USA from 2015 to 2019.

Conclusions

Preoperative anticoagulation, renal failure, COPD, and OSA were found to increase in the risk for transfusion requirements after SG. Receiving a transfusion and smoking increased the risk for leak. Staple line reinforcement significantly decreased transfusion and leak rates. Staple line oversewing did not have an impact on bleeding or leak.

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Authors and Affiliations

  1. Department of Surgery, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, 02138, USA

    R. Wesley Vosburg

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  1. R. Wesley Vosburg
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Correspondence to R. Wesley Vosburg.

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Key Points

• An increase in the utilization of a robotic platform has been found for sleeve gastrectomy performed in the USA.

• Utilization of staple line reinforcement in robotic sleeve gastrectomy cases is associated with a lower risk of bleeding and leak within 30 days of surgery.

• Staple line oversewing did not have an impact on the frequency of bleeding or leak after robotic sleeve gastrectomy.

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Vosburg, R.W. Factors Related to Bleeding and Leak Rates After Robotic Sleeve Gastrectomy. OBES SURG 33, 2658–2661 (2023). https://doi.org/10.1007/s11695-023-06712-1

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  • DOI: https://doi.org/10.1007/s11695-023-06712-1

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