Evidence mapPaperPMID 41413754Full record

ArticleObesity surgery2026

Early Outcomes, Learning Curve and Cost Analysis of Totally Robotic Sleeve Gastrectomy.

Antonio Vitiello, Giovanna Berardi, Maria Spagnuolo, Daniele Bruno, Marcello Persico, Vincenzo Pilone

Abstract read
In one paragraph

Article in Obesity surgery, 2026. 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

6 authors.

Antonio VitielloUniversity of Naples Federico II, Naples, Italy. antoniovitiello_@hotmail.it.
Giovanna BerardiFederico II University Hospital, Naples, Italy.
Maria SpagnuoloUniversity of Naples Federico II, Naples, Italy.
Daniele BrunoUniversity of Naples Federico II, Naples, Italy.
Marcello PersicoFederico II University Hospital, Naples, Italy.
Vincenzo PiloneUniversity of Naples Federico II, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic sleeve gastrectomy (RSG) is gaining adoption in metabolic bariatric surgery, yet evidence on its perioperative safety, efficiency, and costs during the early learning phase remains limited.

objectivesTo evaluate outcomes, learning curve dynamics, and procedural costs for totally robotic sleeve gastrectomy.

settingAcademic center.

methodsA retrospective analysis was conducted of the first 53 consecutive RSGs (April 2023-July 2025) performed by a single surgeon using a standardized fully robotic technique. Perioperative variables, 30-day morbidity, and cost data were collected. Learning curves for docking time, console time, and total operative time were assessed using Cumulative Sum (CUSUM) analysis.

resultsMean age and BMI were 38.1 ± 12.6 years and 41.6 ± 6.3 kg/m

conclusionsTotally RSG can be introduced with safe outcomes even during the learning phase. Proficiency for operative efficiency was reached after 20 cases.

Indexed as

Bariatric SurgeryGastrectomyLearning CurveObesity, MorbidRobotic Surgical ProceduresAdultCosts and Cost AnalysisFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeCost analysisCUSUM analysisLearning curvePerioperative outcomesRobotic sleeve gastrectomy

Identifiers

PMID41413754
PMCPMC12957006

What Socratic holds

Textmetadata
LicenceCC BY
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.