Robotics in Bariatric Surgery: Benefits, Limitations, and Challenges; An Umbrella Review of systematic reviews and meta-analyses

Abstract

Abstract Background: In order to improve the results of weight loss surgeries, robotics in bariatric surgery is a quickly developing method that combines the accuracy and dexterity of robotic technology with the knowledge of surgeons. Surgeons may carry out difficult bariatric procedures with greater accuracy, less invasiveness, and better visualization when using robotic equipment. This review aims to provide wide evidence regarding the benefits, limitations, and challenges of robotics in bariatric surgery. Methods: A comprehensive search was conducted across multiple databases, namely PubMed, Scopus, Web of Science, and Cochrane Central, in order to identify all relevant systematic reviews and meta-analyses from the inception of these databases until July 15, 2023. The quality assessment of the included studies was performed using the AMSTAR2 tool, and the data analysis was conducted using STATA version 17. Results: A total of 11 studies, of which 8 were eligible for the analysis. Our findings demonstrated a notable reduction in the occurrence of postoperative complications (OR: 0.88, 95% CI [0.66 to 1.10], P=0.00) as well as a decrease in the occurrence of anastomotic leaks (OR: 0.82, 95% CI [0.55 to 1.10], P=0.00) among patients who underwent robotic bariatric surgery (RBS) in comparison to those who received laparoscopic bariatric surgery (LBS). Conclusion: robotic bariatric surgery may be a promising technique to decrease most postoperative outcomes compared to the traditional technique. However, further research is needed to fully understand the long-term benefits and cost-effectiveness of this technology.