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ROBOTIC BARIATRIC SURGERY IN THE MANAGEMENT OF MORBID OBESITY: BENEFITS, LIMITATIONS AND LONG-TERM PROSPECTS

Objective: To evaluate the efficacy, safety and complications associated with robotic bariatric surgery in the treatment of morbid obesity, as well as to identify the factors that influence long-term results. Method: This is a narrative literature review, developed according to the criteria of the PVO strategy, using the PubMed/MEDLINE database including terms such as "robot", "robotics", "bariatric surgery" and "obesity". Discussion: Robotic bariatric surgery has significant technical advantages, especially in complex and revision cases. Short-term weight loss outcomes are comparable to those of laparoscopic surgery, but the robotic approach stands out for lower conversion rates to open surgery and a reduction in specific complications. However, high costs and technological limitations, such as the absence of tactile feedback, restrict its widespread adoption. Even so, the safety offered by the robotic technique is an important differentiator. Final considerations: Although the initial results are promising, it is essential to carry out more research focused on late outcomes, patient quality of life and cost-benefit analysis, especially for high-risk groups such as patients with morbid obesity associated with comorbidities.

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ROBOTIC BARIATRIC SURGERY IN THE MANAGEMENT OF MORBID OBESITY: BENEFITS, LIMITATIONS AND LONG-TERM PROSPECTS

  • DOI: https://doi.org/10.22533/at.ed.159542514019

  • Palavras-chave: Robotic surgery, bariatric surgery, morbid obesity, long-term results.

  • Keywords: Robotic surgery, bariatric surgery, morbid obesity, long-term results.

  • Abstract:

    Objective: To evaluate the efficacy, safety and complications associated with robotic bariatric surgery in the treatment of morbid obesity, as well as to identify the factors that influence long-term results. Method: This is a narrative literature review, developed according to the criteria of the PVO strategy, using the PubMed/MEDLINE database including terms such as "robot", "robotics", "bariatric surgery" and "obesity". Discussion: Robotic bariatric surgery has significant technical advantages, especially in complex and revision cases. Short-term weight loss outcomes are comparable to those of laparoscopic surgery, but the robotic approach stands out for lower conversion rates to open surgery and a reduction in specific complications. However, high costs and technological limitations, such as the absence of tactile feedback, restrict its widespread adoption. Even so, the safety offered by the robotic technique is an important differentiator. Final considerations: Although the initial results are promising, it is essential to carry out more research focused on late outcomes, patient quality of life and cost-benefit analysis, especially for high-risk groups such as patients with morbid obesity associated with comorbidities.

  • Ana Júlia Mello Benincá Coelho
  • Maria Fernanda Campos de Almeida
  • Giovanna Carolina Igami Nakassa
  • Júlia Von Doellinger Andrade dos Santos
  • Iago Delgallo
  • João Pedro Viana de Assis Nunes
  • Fabiano Brasil Posselt Costa
  • Laura Coviello
  • Guilherme Alves Chaves
  • Ysadora Alcântara da Silva
  • Ana Carolina Nunes da Luz Melo
  • Priscila de Jesus Santana
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