D. Malkawi1, A. Chauhan1,2 1University Of Colorado Denver, Department Of Surgery, Aurora, CO, USA 2University Of Colorado Denver, Surgery-GI, Trauma, And Endocrine Surgery, Aurora, CO, USA
Introduction:
The increasing prevalence of obesity has heightened the demand for bariatric procedures that offer significant weight loss while minimizing the risks associated with malabsorption and other surgical complications. The Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) was introduced to replicate the weight loss outcomes of biliopancreatic diversion while reducing technical complexity and potential complication rates. This procedure has gained popularity, particularly among super-obese patients. However, bariatric surgeries in this population present unique challenges, exacerbating the technical difficulties of minimally invasive procedures. Robotic surgery offers advantages such as enhanced dexterity and precision, although these benefits are often counterbalanced by increased costs and positioning limitations. The differential outcomes between robotic and conventional laparoscopic approaches remain unclear. A hybrid surgical approach, combining elements of both techniques, may optimize results by facilitating precise dissection and suturing, especially in patients with a BMI >50 kg/m².
Methods:
To reduce operative times, and costs, and improve surgical outcomes, we are conducting a retrospective single-center study comparing robotic, laparoscopic, and hybrid approaches to SADI-S.
Results:
Propensity score matching analysis will be employed to minimize selection bias. Key metrics such as surgical duration, cost, and length of hospital stay will be evaluated across the three groups.
Conclusion:
This study aims to provide valuable insights into the comparative effectiveness of robotic, laparoscopic, and hybrid surgical approaches for the Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy.