43fe8f89b3e4bbfc5472db6e3977339d znad374.pdf ea13375f4bf620e4cda96d2a2ad938de1f65adde znad374.pdf 1e878266c9ecd0e5f9b697de5aaf310ad14ac46970dc65ef52b8653b2cc3b1e8 znad374.pdf Title: Global benchmarks in primary robotic bariatric surgery redefine quality standards for Roux-en-Y gastric bypass and sleeve gastrectomy Subject: DOI: 10.1093/bjs/znad374; British Journal of Surgery, 111, 1, 2023-11-20.; Abstract: Background: Whether the benefits of the robotic platform in bariatric surgery translate into superior surgical outcomes remains unclear. The aim of this retrospective study was to establish the ‘best possible’ outcomes for robotic bariatric surgery and compare them with the established laparoscopic benchmarks. Methods: Benchmark cut-offs were established for consecutive primary robotic bariatric surgery patients of 17 centres across four continents (13 expert centres and 4 learning phase centres) using the 75th percentile of the median outcome values until 90 days after surgery. The benchmark patients had no previous laparotomy, diabetes, sleep apnoea, cardiopathy, renal insufficiency, inflammatory bowel disease, immunosuppression, history of thromboembolic events, BMI greater than 50 kg/m2, or age greater than 65 years. Results: A total of 9097 patients were included, who were mainly female (75.5%) and who h Keywords: Author: Guillaume Giudicelli Creator: Servigistics Arbortext Advanced Print Publisher 11.1.4546/W-x64 Producer: PDFlib+PDI 9.0.7p3 (C++/Win64) CreationDate: Wed Jan 3 15:18:54 2024 CET ModDate: Thu Jan 4 12:45:31 2024 CET Custom Metadata: yes Metadata Stream: yes Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 9 Encrypted: no Page size: 595.276 x 782.362 pts Page rot: 0 File size: 7339101 bytes Optimized: no PDF version: 1.6 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- NUFRVC+CaeciliaLTStd-Bold Type 1C Custom yes yes yes 1401 0 QCJNTR+CaeciliaLTStd-Roman Type 1C Custom yes yes yes 1406 0 SSUYIB+CaeciliaLTStd-Light Type 1C Custom yes yes yes 1411 0 RIMNTQ+CaeciliaLTStd-LightItalic Type 1C Custom yes yes yes 1416 0 JRORUX+CaeciliaLTStd-Heavy Type 1C Custom yes yes yes 1421 0 ZUODNQ+CaeciliaLTStd-Italic Type 1C Custom yes yes yes 1426 0 IEAWOS+STIXGeneral-Regular Type 1C Custom yes yes yes 74 0 CGZNPF+STIXGeneral-Bold Type 1C Custom yes yes yes 118 0 Helvetica-Bold Type 1 Custom no no no 16 0 Helvetica Type 1 Custom no no no 18 0 Helvetica-Bold Type 1 Custom no no no 23 0 Helvetica Type 1 Custom no no no 25 0 NEQBHJ+SymbolMT Type 1 Custom yes yes no 27 0 Helvetica-BoldOblique Type 1 Custom no no no 31 0 ZBULOE+CaeciliaLTStd-BoldItalic Type 1C Custom yes yes yes 125 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-06-10 04:24:38 CEST RepresentationInformation: znad374.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-06-09 18:18:11 CEST Size: 7339101 Format: PDF Version: 1.6 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf Profile: Tagged PDF PDFMetadata: Objects: 1513 FreeObjects: 6 IncrementalUpdates: 6 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: true NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: OneColumn PageMode: UseOutlines Language: en Outlines: Item: Title: Global benchmarks in primary robotic bariatric surgery redefine quality standards for Roux-en-Y gastric bypass and sleeve gastrectomy Destination: head1 Children: Item: Title: Introduction Destination: secznad374-s0 Item: Title: Methods Destination: secznad374-s1 Children: Item: Title: Study design Destination: secznad374-s1.1 Item: Title: Outcome variables of interest Destination: secznad374-s1.2 Item: Title: Statistical analysis Destination: secznad374-s1.3 Item: Title: Results Destination: secznad374-s2 Children: Item: Title: Robotic bariatric surgery cohort Destination: secznad374-s2.1 Item: Title: Benchmark cut-offs for surgical quality indicators Destination: secznad374-s2.2 Item: Title: Benchmark cohort: robotic Roux-en-Y gastric bypass Destination: secznad374-s2.3 Item: Title: Benchmark cohort: robotic sleeve gastrectomy Destination: secznad374-s2.4 Item: Title: Learning curve of robotically assisted bariatric surgery Destination: secznad374-s2.5 Item: Title: Adverse events related to the robotic platform Destination: secznad374-s2.6 Item: Title: Discussion Destination: secznad374-s3 Item: Title: Funding Destination: secznad374-s4 Item: Title: Acknowledgements Destination: acknow Item: Title: Author contributions Destination: secznad374-s5 Item: Title: Disclosure Destination: secznad374-s6 Item: Title: Supplementary material Destination: secznad374-s7 Item: Title: Data availability Destination: secznad374-s8 Item: Title: References Destination: reflist Info: Title: Global benchmarks in primary robotic bariatric surgery redefine quality standards for Roux-en-Y gastric bypass and sleeve gastrectomy Author: Guillaume Giudicelli Subject: DOI: 10.1093/bjs/znad374; British Journal of Surgery, 111, 1, 2023-11-20.; Abstract: Background: Whether the benefits of the robotic platform in bariatric surgery translate into superior surgical outcomes remains unclear. The aim of this retrospective s琀甀搀礀 眀愀猀 琀漀 攀猀琀愀戀氀椀猀栀 琀栀攀†᠀戀攀猀琀 瀀漀猀猀椀戀氀攠ᤀ 漀甀琀挀漀洀攀猀 昀漀爀 爀漀戀漀琀椀挀 戀愀爀椀愀琀爀椀挀 猀甀爀最攀爀礀 愀渀搀 挀漀洀瀀愀爀攀 琀栀攀洀 眀椀琀栀 琀栀攀 攀猀琀愀戀氀椀猀栀攀搀 氀愀瀀愀爀漀猀挀pic benchmarks. Methods: Benchmark cut-offs were established for consecutive primary robotic bariatric surgery patients of 17 c攀渀琀爀攀猀 愀挀爀漀猀猀 昀漀甀爀 挀漀渀琀椀渀攀渀琀猀 ㄀㌀ 攀砀瀀攀爀琀 挀攀渀琀爀攀猀 愀渀搀 㐀 氀攀愀爀渀椀渀最 瀀栀愀猀攀 挀攀渀琀爀攀猀 甀猀椀渀最 琀栀攀 㜀㔀琀栀 瀀攀爀挀攀渀琀椀氀攀 漀昀 琀栀攀 洀攀搀椀愀渀 漀甀琀挀漀洀攀values until 90 days after surgery. The benchmark patients had no previous laparotomy, diabetes, sleep apnoea, cardiopathy, ren愀氀 椀渀猀甀昀昀椀挀椀攀渀挀礀Ⰰ 椀渀昀氀愀洀洀愀琀漀爀礀 戀漀眀攀氀 搀椀猀攀愀猀攀Ⰰ 椀洀洀甀渀漀猀甀瀀瀀爀攀猀猀椀漀渀Ⰰ 栀椀猀琀漀爀礀 漀昀 琀栀爀漀洀戀漀攀洀戀漀氀椀挀 攀瘀攀渀琀猀Ⰰ 䈀䴀䤀 最爀攀愀琀攀爀 琀栀愀渀 㔀〠Ԁ欀最⼀洀㈀Ⰰ 漀 age greater than 65 years. Results: A total of 9097 patients were included, who were mainly female (75.5%) and who h Keywords: Creator: Servigistics Arbortext Advanced Print Publisher 11.1.4546/W-x64 Producer: PDFlib+PDI 9.0.7p3 (C++/Win64) CreationDate: Wed Jan 03 15:48:54 CET 2024 ModDate: Thu Jan 04 13:15:31 CET 2024 ID: 0x0abe340d6362c0dba4234f491446b4bf, 0xf38d041e7dc73245aa07299558aee4f4 Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: ZUODNQ+CaeciliaLTStd-Italic FontSubset: true FirstChar: 1 LastChar: 10 FontDescriptor: FontName: ZUODNQ+CaeciliaLTStd-Italic Flags: Nonsymbolic, Italic FontBBox: -166, -270, 1053, 915 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: SSUYIB+CaeciliaLTStd-Light FontSubset: true FirstChar: 1 LastChar: 89 FontDescriptor: FontName: SSUYIB+CaeciliaLTStd-Light Flags: Nonsymbolic FontBBox: -164, -266, 1130, 908 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: CGZNPF+STIXGeneral-Bold FontSubset: true FirstChar: 1 LastChar: 1 FontDescriptor: FontName: CGZNPF+STIXGeneral-Bold Flags: Nonsymbolic, ForceBold FontBBox: -1030, -455, 2000, 1055 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: RIMNTQ+CaeciliaLTStd-LightItalic FontSubset: true FirstChar: 1 LastChar: 46 FontDescriptor: FontName: RIMNTQ+CaeciliaLTStd-LightItalic Flags: Nonsymbolic, Italic FontBBox: -166, -267, 1033, 909 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: NUFRVC+CaeciliaLTStd-Bold FontSubset: true FirstChar: 1 LastChar: 61 FontDescriptor: FontName: NUFRVC+CaeciliaLTStd-Bold Flags: Nonsymbolic, ForceBold FontBBox: -166, -273, 1141, 938 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: IEAWOS+STIXGeneral-Regular FontSubset: true FirstChar: 1 LastChar: 8 FontDescriptor: FontName: IEAWOS+STIXGeneral-Regular Flags: Nonsymbolic FontBBox: -995, -455, 2000, 1055 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: JRORUX+CaeciliaLTStd-Heavy FontSubset: true FirstChar: 1 LastChar: 44 FontDescriptor: FontName: JRORUX+CaeciliaLTStd-Heavy Flags: Nonsymbolic, ForceBold FontBBox: -170, -277, 1146, 970 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: ZBULOE+CaeciliaLTStd-BoldItalic FontSubset: true FirstChar: 1 LastChar: 2 FontDescriptor: FontName: ZBULOE+CaeciliaLTStd-BoldItalic Flags: Nonsymbolic, Italic, ForceBold FontBBox: -169, -273, 1082, 932 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: QCJNTR+CaeciliaLTStd-Roman FontSubset: true FirstChar: 1 LastChar: 76 FontDescriptor: FontName: QCJNTR+CaeciliaLTStd-Roman Flags: Nonsymbolic FontBBox: -167, -270, 1136, 926 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true XMP: uuid:365a94b5-18bf-4eec-afd9-c8c122f5365e uuid:BBFB1E05-EBFF-649B-5903-A2CE69164B0D True PDFlib+PDI 9.0.7p3 (C++/Win64) application/pdf 10.1093/bjs/znad374 en Oxford University Press Global benchmarks in primary robotic bariatric surgery redefine quality standards for Roux-en-Y gastric bypass and sleeve gastrectomy Guillaume Giudicelli Daniel Gero Lind Romulo Vasu Chirumamilla Pouya Iranmanesh Christopher K. Owen Wayne Bauerle Amador Garcia Lisa Lucas Anne-Sophie Mehdorn Dhananjay Pandey Abdullah Almuttawa Francisco Cabral Abhishek Tiwari Virginia Lambert Beniamino Pascotto Celine De Meyere Marouan Yahyaoui Thomas Haist Oliver Scheffel Maud Robert Frederiek Nuytens Santiago Azagra Lilian Kow Arun Prasad Carlos Vaz Michel Vix Vivek Bindal Jan H. Beckmann David Soussi Ramon Vilallonga Maher El Chaar Erik B. Wilson Arif Ahmad Andre Teixeira Monika E. Hagen Christian Toso Pierre-Alain Clavien Milo Puhan Marco Bueter Minoa K. Jung DOI: 10.1093/bjs/znad374; British Journal of Surgery, 111, 1, 2023-11-20.; Abstract: Background: Whether the benefits of the robotic platform in bariatric surgery translate into superior surgical outcomes remains unclear. The aim of this retrospective study was to establish the ‘best possible’ outcomes for robotic bariatric surgery and compare them with the established laparoscopic benchmarks. Methods: Benchmark cut-offs were established for consecutive primary robotic bariatric surgery patients of 17 centres across four continents (13 expert centres and 4 learning phase centres) using the 75th percentile of the median outcome values until 90 days after surgery. The benchmark patients had no previous laparotomy, diabetes, sleep apnoea, cardiopathy, renal insufficiency, inflammatory bowel disease, immunosuppression, history of thromboembolic events, BMI greater than 50 kg/m2, or age greater than 65 years. Results: A total of 9097 patients were included, who were mainly female (75.5%) and who h © The Author(s) 2023. Published by Oxford University Press on behalf of BJS Society Ltd. Journal British Journal of Surgery © The Author(s) 2023. 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