Evidence mapPaperPMID 39477421Full record

SynthesisIn vivo (Athens, Greece)

Robotic Single Anastomosis Duodenal-ileal Bypass With Sleeve Gastrectomy (SADI-S) for Morbid Obesity: A Systematic Review.

Theodoros Kozonis, Kyriacos Evangelou, Christos Damaskos, Nikolaos Garmpis, Gerasimos Tsourouflis, Stylianos Kykalos, Emmanouil Kritsotakis, Christina Kontopoulou, Theodosios Theodosopoulos, Dimitrios Dimitroulis

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. Long-Term Outcomes and Safety of Robotic Bariatric Surgery.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Theodoros KozonisSecond Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, Greece; kozonis24@yahoo.com.
Kyriacos EvangelouDepartment of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Christos DamaskosHellenic Minimally Invasive and Robotic Surgery (M.I.R.S.) Study Group, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Nikolaos GarmpisHellenic Minimally Invasive and Robotic Surgery (M.I.R.S.) Study Group, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Gerasimos TsourouflisHellenic Minimally Invasive and Robotic Surgery (M.I.R.S.) Study Group, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Stylianos KykalosHellenic Minimally Invasive and Robotic Surgery (M.I.R.S.) Study Group, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Emmanouil KritsotakisSecond Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Christina KontopoulouSecond Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Theodosios TheodosopoulosSecond Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Dimitrios DimitroulisHellenic Minimally Invasive and Robotic Surgery (M.I.R.S.) Study Group, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe global obesity epidemic has seen a dramatic increase in prevalence since 1975, posing significant health and economic challenges worldwide. Robotic-assisted single anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) has emerged as a promising surgical intervention for morbid obesity, offering potential advantages over traditional laparoscopic approaches in terms of precision, safety, and recovery outcomes. This study aimed to evaluate the efficacy and safety of robotic-assisted SADI-S, focusing on perioperative and postoperative outcomes including intraoperative complications, operative time, conversion rates, mortality, length of hospital stay, weight loss, and postoperative complications. MATERIALS AND

methodsA comprehensive literature search was conducted on PubMed, Scopus, and Cochrane Library, adhering to inclusion and exclusion criteria focused on obese adult humans undergoing robotic SADI-S. Seven studies, published between 2015 and 2024, involving 204 patients, were ultimately included for analysis.

resultsThe analysis revealed a low rate of intraoperative complications (0.49%), no mortality, and varied operative times (138 to 205.7 min). The median hospital stay ranged from 2 to 6.7 days, with minimal readmission rates. Postoperative complications occurred in 6.37% of patients, but no late complications (>30 days) were reported. Notably, significant weight loss outcomes were documented, with mean excess weight loss (EWL) up to 113.74% at 24 months follow-up.

conclusionRobotic-assisted SADI-S demonstrates a favourable safety profile with promising weight loss outcomes, highlighting its potential as a primary or revisional treatment for morbid obesity. Further research, including randomized controlled trials, is needed to establish its long-term efficacy and cost-effectiveness compared to traditional laparoscopic methods.

Indexed as

GastrectomyObesity, MorbidPostoperative ComplicationsRobotic Surgical ProceduresAnastomosis, SurgicalDuodenumHumansIleumLength of StayOperative TimeTreatment OutcomeWeight Lossbariatric surgeryminimally invasive surgeryobesityreviewrobotic-assisted surgerySADI-S

Identifiers

PMID39477421
PMCPMC11535915

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.