Robotic Bariatric Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 20 June 2025 | Viewed by 2865

Special Issue Editors


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Guest Editor
Advanced Biomedical Sciences Department, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy
Interests: bariatric surgery; metabolic surgery; laparoscopic sleeve gastrectomy; bariatrics; general surgery
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Guest Editor
Department of Public Health, University of Naples Federico II, Via Pansini 5, 80131 Naples, Italy
Interests: bariatric surgery; gastrectomy; ulcers
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

There is currently a worldwide epidemic of obesity, and metabolic bariatric surgery is the optimal treatment for severe obesity. Robotic surgery is the latest advancement in the area of minimally invasive surgery. The use of the robot allows surgeons to perform complicated and long-lasting procedures with greater precision and improved ergonomics. This new surgical approach is also gaining success in the field of obesity surgery. However, few articles have been published on this topic. The aim of this Special Issue is to collect evidence from reviews and original articles showing the benefits or the pitfalls of robotic bariatric surgery.

Dr. Antonio Vitiello
Prof. Dr. Vincenzo Pilone
Guest Editors

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Keywords

  • bariatric surgery
  • metabolic surgery
  • sleeve gastrectomy
  • bariatrics
  • general surgery
  • gastric bypass
  • robotic surgery
  • robotics

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Published Papers (2 papers)

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Research

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8 pages, 784 KiB  
Article
Initial Single-Center Experience with Robotic Roux-en-Y Gastric Bypass: A Retrospective Case Series
by Antonio Vitiello, Antonio Braun, Libero Giambavicchio, Arianna Corvasce, Giovanna Berardi and Vincenzo Pilone
J. Clin. Med. 2025, 14(9), 2967; https://doi.org/10.3390/jcm14092967 - 25 Apr 2025
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Abstract
Objective: To evaluate the outcomes of a preliminary single-center experience with Robotic Roux-en-Y Gastric Bypass (R-RYGB) using the Hugo™ Robotic-assisted Surgery system, focusing on operative time, perioperative complications, and length of hospital stay. Methods: A retrospective review identified 19 consecutive patients who underwent [...] Read more.
Objective: To evaluate the outcomes of a preliminary single-center experience with Robotic Roux-en-Y Gastric Bypass (R-RYGB) using the Hugo™ Robotic-assisted Surgery system, focusing on operative time, perioperative complications, and length of hospital stay. Methods: A retrospective review identified 19 consecutive patients who underwent R-RYGB with the Hugo™ system between January 2023 and January 2024. The baseline data collected were sex, age, and BMI. Key outcomes measured were operative time, docking time, length of hospital stay, conversions to open or laparoscopic surgery, reinterventions, readmissions, and intraoperative and early (<30 days) postoperative complications (bleeding, leak, and stenosis). Results: Nineteen patients underwent R-RYGB using the Hugo™ system. The mean age was 43.5 ± 10 years, and the mean BMI was 39.4 ± 2.9 kg/m2. Among these patients, 11 were female (57.9%); 3 had diabetes mellitus (15.8%), 3 had obstructive sleep apnea syndrome (15.8%), and 7 had hypercholesterolemia (36.8%). The mean operative time was 177.8 ± 34.7 min, with a mean docking time of 12.5 ± 4.6 min. The mean length of hospital stay was 3.1 ± 0.2 days. There were no intraoperative complications, conversions, reinterventions, readmissions, or 30-day postoperative complications. All procedures were completed uneventfully. Conclusions: Our preliminary experience suggests that R-RYGB using the Hugo™ Robotic-assisted Surgery system is safe and feasible, with acceptable operative and docking times and no perioperative complications. Full article
(This article belongs to the Special Issue Robotic Bariatric Surgery)
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Review

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16 pages, 734 KiB  
Review
Challenges of Revisional Metabolic and Bariatric Surgery: A Comprehensive Guide to Unraveling the Complexities and Solutions of Revisional Bariatric Procedures
by Lorna A. Evans, Rocio Castillo-Larios, Jorge Cornejo and Enrique F. Elli
J. Clin. Med. 2024, 13(11), 3104; https://doi.org/10.3390/jcm13113104 - 25 May 2024
Cited by 1 | Viewed by 2135
Abstract
Revisional metabolic and bariatric surgery (RMBS) presents unique challenges in addressing weight loss failure or complications arising from initial bariatric procedures. This review aims to explore the complexities and solutions associated with revisional bariatric procedures comprehensively, offering insights into the evolving terrain of [...] Read more.
Revisional metabolic and bariatric surgery (RMBS) presents unique challenges in addressing weight loss failure or complications arising from initial bariatric procedures. This review aims to explore the complexities and solutions associated with revisional bariatric procedures comprehensively, offering insights into the evolving terrain of metabolic and bariatric surgery. A literature review is conducted to identify pertinent studies and expert opinions regarding RMBS. Methodological approaches, patient selection criteria, surgical techniques, preoperative assessments, and postoperative management strategies are synthesized to provide a comprehensive overview of current practices and advancements in the field, including institutional protocols. This review synthesizes key findings regarding the challenges encountered in RMBS, including the underlying causes of primary procedure failure, anatomical complexities, technical considerations, and assessments of surgical outcomes. Additionally, patient outcomes, complication rates, and long-term success are presented, along with institutional approaches to patient assessment and procedure selection. This review provides valuable insights for clinicians grappling with the complexities of RMBS. A comprehensive understanding of patient selection, surgical techniques, preoperative management, and postoperative care is crucial for enhancing outcomes and ensuring patient satisfaction in the field of metabolic bariatric surgery. Full article
(This article belongs to the Special Issue Robotic Bariatric Surgery)
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