ArticleSurgical endoscopy2018
Robotic gastric bypass may lead to fewer complications compared with laparoscopy.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Multi-centric international 10-year review of surgical magnetic mechatronics in HPB, bariatrics, OB-GYN, urology and neurosurgery: minimally invasive technology, robot design & actuator-sensor fusion.Journal of robotic surgery · 2026Pooled it
- A Systematic Review to Summarise and Appraise the Reporting of Surgical Innovation: a Case Study in Robotic Roux-en-Y Gastric Bypass.Obesity surgery · 2024Pooled it
- Robotic bariatric surgery for the obesity: a systematic review and meta-analysis.Surgical endoscopy · 2021Pooled it
- Robotic Versus Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity: a Systematic Review and Meta-Analysis.Obesity surgery · 2018Pooled it
- Recent Advances in Metabolic and Bariatric Surgery: A Narrative Review of Therapeutic Strategies for Weight Loss and Metabolic Health.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Review
- Gastric bypass performed with different surgical platforms during different periods.Journal of robotic surgery · 2025Article
- Racial disparities in the utilization and outcomes of robotic bariatric surgery: an 8-year analysis of Metabolic and Bariatric Surgery Accreditation Quality Improvement Program data.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025Article
- Do advances in technology translate to improved outcomes? Comparing robotic bariatric surgery outcomes over two-time intervals utilizing the MBSAQIP database.Surgical endoscopy · 2023Article
- Establishing robotic bariatric surgery at an academic tertiary hospital: a learning curve analysis for totally robotic Roux-en-Y gastric bypass.Journal of robotic surgery · 2023Article
- ROBOTIC VERSUS LAPAROSCOPIC ROUX-EN-Y-GASTRIC BYPASS: A RETROSPECTIVE STUDY IN A SINGLE CENTER.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023Article
- Australian experience with robot-assisted Roux-en-Y gastric bypass with comparison to a conventional laparoscopic series.Surgical endoscopy · 2022Article
- Comparative analysis of robotic versus laparoscopic Roux-en-Y gastric bypass in severely obese patients.Journal of robotic surgery · 2021Article
- Robotic Roux en Y gastric bypass can be safe and cost-effective in a rural setting: clinical outcomes from a community hospital bariatric program.Journal of robotic surgery · 2021Article
- Understanding the Current Role of Robotic-Assisted Bariatric Surgery.Obesity surgery · 2021Article
- Outcomes of robotic surgery in revisional bariatric cases: a propensity score-matched analysis of the MBSAQIP registry.Journal of robotic surgery · 2021Article
- Robotic stapler use: Is it safe?-FDA database analysis across multiple surgical specialties.PloS one · 2021Article
- Evolving Trends in North American Gastric Bypass Delivery: a Retrospective MBSAQIP Analysis of Technical Factors and Outcomes from 2015 to 2018.Obesity surgery · 2021Article
- Cost Analysis of Robotic Roux-en-Y Gastric Bypass in a Single Academic Center: How Expensive Is Expensive?Obesity surgery · 2020Article
- Three-dimensional laparoscopic Roux-en-Y gastric bypass with totally hand-sewn anastomoses for morbid obesity. A single center experience.Acta cirurgica brasileira · 2020Article
- Pros and Cons of Robotic Revisional Bariatric Surgery.Visceral medicine · 2020Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotic technology leads to improved visualization and precision over laparoscopy but also higher cost of care. The benefits of this technology to patient outcomes are controversial. Our objective was to assess whether the application of robotic surgery to Roux-en-Y gastric bypass (RYGB) would lead to improved patient outcomes.
methodsA prospectively collected database at a bariatric center of excellence was reviewed for all RYGB procedures performed by one surgeon between 2007 and 2015. Procedures performed laparoscopically (transoral circular stapling technique) versus robotically (hand-sewn anastomosis) were compared; the transition in technique occurred in 2011. Patient demographics, baseline weight, BMI, operation duration, estimated blood loss (EBL), length of hospital stay (LOS), morbidity and mortality, and percent excess weight loss (%EWL) at 1-year follow-up were compared between groups. Morbidity up to 1-year postop was assessed using the Clavien-Dindo classification.
resultsOf 246 patients, 125 underwent robotic and 121 laparoscopic RYGB. Patients in the robotic group were older and heavier but achieved similar %EWL to the laparoscopic group. The operative duration was longer but the mean patient LOS was shorter with the robotic approach. There were no leaks and no mortality. Based on the Clavien-Dindo classification, fewer overall and fewer severe complications occurred in the robotic compared with the laparoscopic approach.
conclusionIn our experience, the use of robotic technology for the creation of gastric bypass led to longer operative times, similar %EWL but decreased LOS and number and severity of complications compared with the laparoscopic approach. Since our findings may have been influenced by the type of anastomotic technique used with each approach they need confirmation by a controlled trial.
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