Robotic-Assisted Versus Laparoscopic Revisional Bariatric Surgery: a Systematic Review and Meta-analysis on Perioperative Outcomes

Abstract

This systematic review and meta-analysis investigated the role of robotic-assisted surgery in patients undergoing revisional bariatric surgery (RBS). According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a literature search of PubMed, Cochrane Library, Web of Science, and Google Scholar was performed: ((“sleeve”AND “gastr*”)OR “bariatric”OR “gastric bypass”)AND(“robot*”OR “DaVinci”OR “Da Vinci”)AND(“revision*”OR “conversion*”). In this review, six studies with 29,890 patients were included (2459 in the robotic group). No difference in postoperative complications (RR 1.070, 95%CI 0.930–1.231, p\u2009=\u20090.950), conversions to open surgery (RR 1.339, 95%CI 0.736–2.438, p\u2009=\u20090.339), length of stay (SMD\u2009−\u20090.041, 95%CI\u2009−\u20090.420–0.337, p\u2009=\u20090.831) or operative time (RR 0.219, 95%CI\u2009−\u20090.539–0.977, p\u2009=\u20090.571) was found. This systematic review and meta-analysis showed no significant advantage of robotic-assisted RBS; on the other hand, it showed a non-inferior efficacy compared to standard laparoscopy.