Evidence map›Paper›PMID 42339901›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2026

First robotic telesurgery applied to bariatric surgery in Latin America: technical fundamentals, operational challenges and perspectives in clinical practice.

Paulo Afonso Nunes Nassif, Osvaldo Malafaia, Gualter Lisboa Ramalho, Augusto de Almeida Junior, Rafael Mourato Inácio da Silva, Mariano Palermo, Leandro Totti Cavazzola, Marcelo de Paula Loureiro

Abstract read
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Paulo Afonso Nunes NassifScolla Ensino - Campo Largo (PR), Brazil.ORCID http://orcid.org/0000-0002-1752-5837
Osvaldo MalafaiaFaculdade Evangélica Mackenzie do Paraná - Curitiba (PR), Brazil.ORCID http://orcid.org/0000-0002-1829-7071
Gualter Lisboa RamalhoHospital Alberto Urquiza Wanderley - João Pessoa (PB), Brazil.ORCID http://orcid.org/0000-0002-9640-0185
Augusto de Almeida JuniorHospital Alberto Urquiza Wanderley - João Pessoa (PB), Brazil.ORCID http://orcid.org/0009-0004-9954-1970
Rafael Mourato Inácio da SilvaHospital Alberto Urquiza Wanderley - João Pessoa (PB), Brazil.ORCID http://orcid.org/0000-0001-9906-0190
Mariano PalermoScolla Ensino - Campo Largo (PR), Brazil.ORCID http://orcid.org/0000-0001-7366-3321
Leandro Totti CavazzolaScolla Ensino - Campo Largo (PR), Brazil.ORCID http://orcid.org/0000-0003-2356-2789
Marcelo de Paula LoureiroScolla Ensino - Campo Largo (PR), Brazil.ORCID http://orcid.org/0000-0001-9044-4534

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of robotic systems in bariatric surgery has reached a stage of maturity that supports its application with consistent results in the management of severe obesity. At the same time, the improvement of communication networks and digital support bases has renewed the debate on telesurgery as an alternative to extend the reach of specialized surgical care, particularly in contexts marked by the unequal concentration of highly complex services.

aimsTo present the first teleassisted bariatric robotic operation in Latin America between two states of Brazil separated by 3,200 km, in order to demonstrate its operational capacity in real time.

methodsVertical gastrectomy was performed with two separate teams: one performing the procedure in the metropolitan area of Curitiba (PR), and the other in the city of João Pessoa (PB), both in Brazil.

resultsThe procedure was performed without significant operative differences when compared to the face-to-face system and in the same way that it could have been done without the use of telesurgery.

conclusionsWithin this transition process, robotic assisted bariatric surgery stands out as a strategic environment for experimentation, systematic evaluation and consolidation, giving access to new approaches, such as telesurgery, contributing to the construction of a more integrated and innovative surgical model.

Indexed as

Bariatric SurgeryRobotic Surgical ProceduresBrazilHumansLatin AmericaTelemedicine

Identifiers

PMID42339901
PMCPMC13322163

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LicenceCC BY
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Registered trials

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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.