The Role of Robotics in Bariatric Surgery

This article will review the current evidence supporting the use of robotic platforms in bariatric surgery and discuss the technical aspects of robotic platforms in the current bariatric procedures performed. The use of robotic platforms for minimally invasive bariatric surgery continues to increase. This can be attributed to the perceived advantages of robotic platforms including three-dimensional high-definition visualization, tremor filtration, direct camera control by the primary surgeon, multi-quadrant access, and wristed instruments which make complex and redo surgery potentially easier to perform. Robotic systems may also provide ergonomic advantages in patients with obesity who have significant abdominal wall mass. Despite a longer operative time, the preponderance of the data suggest robotic surgery is a safe and effective methodology to perform bariatric procedures. The greatest potential for clinical benefit appears to be in revisional bariatric surgery and in patients with higher body mass index. There may also be advantages in the learning curve of these complex procedures. Robotic platform improvement, training, and cost-effective usage may overcome the higher initial costs.