Robotic vs. laparoscopic Roux-en-Y gastric bypass in patients with BMI 60 kg/m2 - results of over 230,000 patients using the MBSAQIP database

CONCLUSIONS: Patients with BMI ≥ 60 kg/m2 have higher rates of complications compared to patients with BMI < 60 kg/m2. RRYGB seems to be a safe to perform in patients with BMI ≥ 60 kg/m2 with no difference in 30-day complication rate, longer average operating time but shorter length of stay. There is still a need for good quality multi-centre prospective research study to define the best approach for patients with obesity class V.