Abstract Background Robotic bariatric surgery enhances precision, but single-surgeon outcomes for large cohorts, particularly regarding patient factors like BMI and comorbidities, are underexplored. This study evaluates efficiency and safety in 160 robotic procedures, focusing on correlations between BMI, comorbidities, and surgical outcomes. Methods Retrospective analysis of 160 robotic bariatric procedures performed by a single surgeon from March 2024 to May 2025. Outcomes included console time, length of stay (LOS), complications, and readmissions. Subgroup analyses examined correlations of BMI and comorbidities with outcomes using Spearman’s rank correlation and logistic regression, with additional comparisons for hiatal hernia repair (HH) cases (9 sleeve, 6 RYGB) versus non-HH cases using t-tests and chi-square tests. Analyses were conducted in SPSS v28. Results For the analyzed cases, sleeve console time was 76.0 ± 30.8 min, LOS 2.2 ± 1.0 days; RYGB console time 146.2 ± 39.5 min, LOS 1.9 ± 1.1 days. Complications (1.3% sleeves, 0% RYGB) and readmissions (1.3% sleeves, 0% RYGB) were rare. BMI showed no significant correlations (p 0.39); comorbidities weakly correlated with RYGB LOS (r = 0.29, P = 0.04). HH comparisons showed no significant differences (P ≥ 0.12). Preliminary findings suggest similar trends for 160 cases. Conclusion Robotic bariatric surgery is safe and efficient across 160 cases, with minimal BMI impact and slight comorbidity influence on RYGB LOS. Further research on long-term outcomes is needed.
Ramar et al. (Thu,) studied this question.