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Purpose of Review <p>To evaluate whether current evidence supports the use of robotic-assisted techniques over laparoscopic approaches in bariatric surgery.</p> Background <p>Robotic platforms have gained popularity in minimally invasive surgery, including bariatric procedures, due to their ergonomic and technical advantages. However, concerns persist regarding the cost-effectiveness and clinical benefits relative to laparoscopy.</p> Brief Summary <p>This review critically analyzes the existing literature comparing robotic and laparoscopic bariatric surgery, focusing on cost, operative outcomes, complication rates, and applicability in complex cases. The findings demonstrate that while robotic surgery is safe and feasible, it incurs significantly higher costs without providing superior weight loss, complication reduction, or metabolic outcomes. Even in high-risk subgroups such as revisional or super-obese patients, the clinical advantages remain marginal and inconsistent. Current data, primarily from retrospective studies, do not justify the routine adoption of robotics in bariatric surgery.</p>

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Robotic Bariatric Surgery is not Supported by Current Literature

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月26日

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  • Mauricio Sarmiento Cobos,
  • Roberto Valera,
  • Agustina Altolaguirre,
  • Samuel Szomstein,
  • Raul Rosenthal,
  • Emanuele Lo Menzo

摘要

Purpose of Review

To evaluate whether current evidence supports the use of robotic-assisted techniques over laparoscopic approaches in bariatric surgery.

Background

Robotic platforms have gained popularity in minimally invasive surgery, including bariatric procedures, due to their ergonomic and technical advantages. However, concerns persist regarding the cost-effectiveness and clinical benefits relative to laparoscopy.

Brief Summary

This review critically analyzes the existing literature comparing robotic and laparoscopic bariatric surgery, focusing on cost, operative outcomes, complication rates, and applicability in complex cases. The findings demonstrate that while robotic surgery is safe and feasible, it incurs significantly higher costs without providing superior weight loss, complication reduction, or metabolic outcomes. Even in high-risk subgroups such as revisional or super-obese patients, the clinical advantages remain marginal and inconsistent. Current data, primarily from retrospective studies, do not justify the routine adoption of robotics in bariatric surgery.