ArticleJournal of robotic surgery2023
Establishing robotic bariatric surgery at an academic tertiary hospital: a learning curve analysis for totally robotic Roux-en-Y gastric bypass.
Article in Journal of robotic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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The trial behind it
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
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 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
- Robotic SADI-S in modern bariatric surgery: A systematic review and limited meta-analysis of comparative and single-arm evidence.Journal of robotic surgery · 2026Pooled it
- Learning curves for adoption of robotic bariatric surgery: a systematic review of safety, efficiency and clinical outcomes.Journal of robotic surgery · 2024Pooled it
- Video Assessment of Surgical Performance in Robotic Gastroenterostomy During Pancreatoduodenectomy: Evaluating the Learning Curve and Risk of Delayed Gastric Emptying.Annals of surgery · 2026Article
- Procedure-specific outcomes of robotic versus laparoscopic Roux-en-Y gastric bypass and biliopancreatic diversion with duodenal switch across a decade of MBSAQIP adoption.Journal of robotic surgery · 2026Article
- Real Robotic 3-arm, 3-port versus laparoscopic Roux-en-Y gastric bypass: a prospective single-center comparative study of operative time, costs and short-term outcomes.Journal of robotic surgery · 2026Article
- Comparative analysis of robotic assisted versus laparoscopic Roux-en-Y gastric bypass: a retrospective cohort study.Journal of robotic surgery · 2026Article
- Postoperative Opioid Use After Bariatric Surgery and Associated Factors: A Retrospective Comparison of Laparoscopic and Robotic Approaches.Journal of clinical medicine · 2026Article
- Conversion metabolic bariatric surgery after sleeve gastrectomy: an MBSAQIP analysis.Surgical endoscopy · 2026Article
- Prospective comparison of robotic versus laparoscopic one-anastomosis gastric bypass: real-life analysis of procedural standardization and safety during the initial adoption phase.Journal of robotic surgery · 2026Article
- Robotic-assisted bariatric surgery in medical tourism: a retrospective descriptive study.Journal of robotic surgery · 2026Observational
- 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.Journal of robotic surgery · 2025Article
- Robotic bariatric surgery: the Italian point of view to go beyond.Updates in surgery · 2025Article
- Indications and Outcomes of Laparoscopic Versus Robotic Conversional Bariatric Surgery: An MBSAQIP Study.Obesity surgery · 2025Article
- Observational
- More procedures, more efficiency: optimizing operating room during the phase of learning curve-experience of first 100 robotic bariatric procedures in a single center.Journal of robotic surgery · 2025Article
- Assessment of postoperative complications and their risk factors in general surgery using clavien-dindo classification.Bioinformation · 2025Article
- Global benchmarks in primary robotic bariatric surgery redefine quality standards for Roux-en-Y gastric bypass and sleeve gastrectomy.The British journal of surgery · 2024Article
- Outcomes of totally robotic Roux-en-Y gastric bypass in patients with BMI ≥ 50 kg/mJournal of robotic surgery · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The use of robotic systems in bariatric surgery has constantly increased over the last years. However, beside its technical advantages in morbidly obese patients the conclusive role of robotics in bariatric and metabolic surgery is still under controversial debate. This is an analysis of prospectively collected data of consecutive patients undergoing fully robotic Roux-en-Y gastric bypasses (TR-RYGB) during the first year after implementation of a robotic bariatric program at a tertiary university hospital. All patients were operated by a previously untrained robotic but experienced laparoscopic bariatric surgeon using the daVinci Xi system (Intuitive Surgical, Sarl). Data recording included patient characteristics, operative and functional outcomes, complications and learning curves for surgeon and assistants. In total, 80 patients underwent primary or revisional robotic bariatric surgery. Seventy-two patients (90%) received a TR-RYGB. There were no major complications, re-interventions or readmissions. The overall complication rate was 2.5% (Clavien-Dindo grade I and II). The overall operation time was 140.7 ± 24.6 min and decreased significantly from the first to the last decade of procedures (procedure 1-10: 171.2 ± 26.3 min versus procedure 63-72: 116.0 ± 10.9 min, p < 0.0001). A stabilization of the learning curve was observed after 30 procedures for the surgeon and after five procedures for the bedside assistant. With immediate effect, TR-RYGB is a safe procedure with low complication rates for an experienced laparoscopic bariatric surgeon without prior robotic skills. Learning curves are steep and operation times can be effectively decreased by increasing the experience of the surgeon.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.