SAGES 2026 Annual Meeting Emerging Technology Session

Short-term safety and efficacy of robot-assisted metabolic and bariatric surgery in adolescents: an analysis of the MBSAQIP database

●The usage of robotic systems in metabolic and bariatric surgery (MBS) is increasing rapidly

●Despite the recent rapid increase in MBS in adolescent patients, analyses of outcomes of robot-assisted MBS in the adolescent population are lacking

●We conducted a retrospective cohort study using the 2020-2023 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database

●We compared robot-assisted versus laparoscopic MBS procedures inpatients <19 years of age

●Our primary outcome was 30-day incidence of major complications, defined as Clavien-Dindo Grade >2

●Additional outcomes included:

○Anastomotic or staple line leak

○Reoperation, readmission, or re-intervention

○Operative length and length of stay

○Change in BMI at 30 days

DATA SUMMARY

●From a total of 5521 minimally invasive adolescent MBS procedures, 1326 (24.0%) were robot-assisted

●The most common procedure performed was sleeve gastrectomy (n=4836, 87.6%, 1166/4836 [24.1%] robot-assisted), followed by RYGB(n=590, 10.7%, 147/590 [24.9%] robot-assisted), BPD/DS (n=66, 1.2%), and gastric banding (n=29, 0.5%)

●Patients who underwent robot-assisted surgery had greater rates of hyperlipidemia and GERD (Table 1)

●Based on MBSAQIP data with 30-day follow-up, robot-assisted MBS appears safe in the adolescent population with post-operative efficacy and safety outcomes comparable to laparoscopic MBS

●These findings warrant further large-scale studies evaluating the longer-term safety and efficacy of robotic surgery in adolescent patients

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SAGES 2026 Annual Meeting Emerging Technology Session

Short-term safety and efficacy of robot-assisted metabolic and bariatric surgery in adolescents: an analysis of the MBSAQIP database

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