Jones Alexandria, Hall Alexander, Nandipati Kalyana
Creighton University, Omaha, United States.
Wake Forest University, Winston-Salem, United States.
Obes Surg. 2025 Jun 17. doi: 10.1007/s11695-025-07935-0.
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.
在这项对超过560,000例减肥手术的MBSAQIP数据库研究中，吻合口漏的总体发生率为0.21%。与腹腔镜手术相比，机器人袖状胃切除术（SG）的漏率显著更高。在Roux-en-Y胃旁路术或十二指肠转位术的机器人手术和腹腔镜手术之间，未观察到漏率有显著差异。既往前肠手术和术中放置引流管与所有手术中漏的风险增加独立相关。
