Comparative Analysis of da Vinci-Assisted and Laparoscopic Duodenal Switch Bariatric Surgical Procedures

Completed

Interventions: Device: da Vinci Surgical System
Procedure: laparoscopic bariatric surgery

Brief Summary: To compare the safety and effectiveness of robotic-assisted Duodenal-Switch Bariatric Surgical Procedures (including Biliopancreatic Diversion-Duodenal-Switch/BPD-DS, Single Anastomosis- Duodeno Ileal Bypass with Sleeve/SADI-S, and One Anastomosis Duodenal Switch/OADS) with laparoscopic approaches using real world data (RWD) from the Premier Healthcare Database (PHD).

Detailed Description: To compare the safety and effectiveness of robotic-assisted Duodenal-Switch Bariatric Surgical Procedures (including Biliopancreatic Diversion-Duodenal-Switch/BPD-DS, Single Anastomosis- Duodeno Ileal Bypass with Sleeve/SADI-S, and One Anastomosis Duodenal Switch/OADS) with laparoscopic approaches using real world data (RWD) from the Premier Healthcare Database (PHD). The study endpoints include:

Safety Related Outcomes

1. Intraoperative Complication Rates

2. Transfusion Rates

3. 30-Day Post-Operative Complication Rates\*

4. 30-Day Readmission Rates\*

5. 30-Day Reoperation Rates\*

6. 30-Day Mortality\*

Effectiveness Related Outcomes

1. Conversion Rate to Open Surgery

2. Operative Time

3. Length of Hospital Stay

Recruitment & Eligibility

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Arm && Interventions

Group	Intervention	Description
robotic-assisted	da Vinci Surgical System	Robotic-assisted cases converted to open will be part of the robotic cohort. Comparison of the following safety and effectiveness related surgical outcomes across robotic-assisted and laparoscopic cohorts: Safety Related Outcomes 1. Intraoperative Complication Rates 2. Transfusion Rates 3. 30-Day Post-Operative Complication Rates 4. 30-Day Readmission Rates 5. 30-Day Reoperation Rates 6. 30-Day Mortality Effectiveness Related Outcomes 1. Conversion Rate to Open Surgery 2. Operative Time 3. Length of Hospital Stay
laparoscopic	laparoscopic bariatric surgery	Laparoscopic cases converted to open will be part of the laparoscopic cohort. Comparison of the following safety and effectiveness related surgical outcomes across robotic-assisted and laparoscopic cohorts: Safety Related Outcomes 1. Intraoperative Complication Rates 2. Transfusion Rates 3. 30-Day Post-Operative Complication Rates 4. 30-Day Readmission Rates 5. 30-Day Reoperation Rates 6. 30-Day Mortality Effectiveness Related Outcomes 1. Conversion Rate to Open Surgery 2. Operative Time 3. Length of Hospital Stay

Primary Outcome Measures

Name	Time	Method
30-day Mortality Rate (Safety)	Intra-operative to 30-days	Incidence of mortality until 30 days
Transfusions (Safety)	perioperative	Transfusion Rates Rate of transfusion that occur intraoperatively and postoperatively
30-Day Readmission Rates (Safety)	Upto 30 days	Incidence of readmission that occur after discharge
Intraoperative Complication Rates (Safety)	Intraoperative	Incidence of complications occuring intraoperatively
30-Day Post-Operative Complication Rates (Safety)	Intraoperative to 30-days (from the date of surgery upto 30-days)	Incidence of complications that occur after surgery to 30-days
30-Day Reoperation Rates (Safety)	upto 30 days following the documented date of the surgery	Incidence of reoperations that occur after till 30 days
Conversion rate to open surgery (Effectiveness)	Intraoperative	Incidence of conversion to open that occur intraoperatively
Operative Time (Effectiveness)	Intraoperative	Amount of time it takes to complete the procedure (in min)
Length of hospital Stay (Effectiveness)	perioperative	Number of days participant is in the hospital

Secondary Outcome Measures

Name	Time	Method