Evidence map›Paper›PMID 41182436›Full record

ArticleJournal of robotic surgery2025

Introduction of robotics in a pediatric bariatric program - advantages and opportunities.

Nicolle Burgwardt, Christine Finck, Prabhath Mannam, Michael Brimacombe, Megan Anderson, Darren S Tishler, Pavlos K Papasavas, James M Healy

Abstract read
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In one paragraph

Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Nicolle BurgwardtDivision of Pediatric Surgery, Connecticut Children's, 282 Washington Street, Hartford, CT, 06016, USA.
Christine FinckDivision of Pediatric Surgery, Connecticut Children's, 282 Washington Street, Hartford, CT, 06016, USA.
Prabhath MannamSchool of Medicine, University of Connecticut, Farmington, CT, 06302, USA.
Michael BrimacombeDepartment of Pediatrics, Connecticut Children's, Hartford, CT, 06016, USA.
Megan AndersonSchool of Medicine, University of Connecticut, Farmington, CT, 06302, USA.
Darren S TishlerSurgical Weight Loss Center, Hartford Healthcare, Hartford, CT, 06106, USA.
Pavlos K PapasavasSurgical Weight Loss Center, Hartford Healthcare, Hartford, CT, 06106, USA.
James M HealyDivision of Pediatric Surgery, Connecticut Children's, 282 Washington Street, Hartford, CT, 06016, USA. jhealy@connecticutchildrens.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted bariatric surgery remains uncommon in pediatric surgery. This approach has been suggested to decrease narcotic use and hospital stay, but requires training, investment, a learning curve, and has been associated with increased costs and operative time. This study evaluates outcomes for adolescent patients undergoing robotic and laparoscopic sleeve gastrectomy. A retrospective review of patients that underwent sleeve gastrectomy was performed at a freestanding academic children's hospital between 2021 and 2025. Demographics, perioperative and follow-up data were collected using the American Society for Metabolic and Bariatric Surgery's recommended reporting standards. Operative and surgical outcomes were compared between robotic-assisted and laparoscopic approaches for sleeve gastrectomy. Forty-five patients in the robotic cohort were compared to 84 patients that underwent a laparoscopic approach. The average age at surgery (p = 0.13), sex (p = 0.43), race (p = 0.63), ethnicity (p = 0.47), and average BMI (p = 0.37) were similar between groups. The average length of hospitalization was shorter in the robotic group compared to the laparoscopic cohort (1.5 vs. 2.1 days, p = 0.04). Both average operative time (90.1 vs. 67.3 min, p < 0.01) and supply cost ($4,711 vs. $3,028, p < 0.01) was higher within the robotic group. No significant differences between groups were observed between postoperative complications and narcotic (p = 0.84) or antiemetic use (p = 0.48). Adolescent patients undergoing robotic sleeve gastrectomy may benefit from overall shorter hospital stays, but with an increased supply cost and longer operative times. As experience is accrued, operative time may continue to decrease and robotic sleeve appears to be a safe approach for adolescent patients.

Indexed as

Bariatric SurgeryGastrectomyLaparoscopyObesity, MorbidPediatric ObesityRobotic Surgical ProceduresAdolescentChildFemaleHumansLength of StayMaleOperative TimeRetrospective StudiesTreatment OutcomeBariatric surgeryLaparoscopyPediatric obesityPediatric surgeryRobotic-assistedSleeve gastrectomy

Identifiers

PMID41182436

What Socratic holds

Textmetadata
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.