A Systematic Review to Summarise and Appraise the Reporting of Surgical Innovation: a Case Study in Robotic Roux-en-Y Gastric Bypass

Obes Surg. 2024 Aug;34(8):3058-3070. doi: 10.1007/s11695-024-07329-8. Epub 2024 Jun 19.

Abstract

Robotic Roux-en-Y gastric bypass (RRYGB) is an innovative alternative to traditional laparoscopic approaches. Literature has been published investigating its safety/efficacy; however, the quality of reporting is uncertain. This systematic review used the Idea, Development, Exploration, Assessment and Long-term follow-up (IDEAL) framework to assess the reporting quality of available literature. A narrative summary was formulated, assessing how comprehensively governance/ethics, patient selection, demographics, surgeon expertise/training, technique description and outcomes were reported. Forty-seven studies published between 2005 and 2024 were included. There was incomplete/inconsistent reporting of governance/ethics, patient selection, surgeon expertise/training and technique description, with heterogenous outcome reporting. RRYGB reporting was poor and did not align with IDEAL guidance. Robust prospective studies reporting findings using IDEAL/other guidance are required to facilitate safe widespread adoption of RRYGB and other surgical innovations.

Keywords: Bariatric surgery; IDEAL framework; Innovation; Outcome reporting; Robotic surgery; Roux-en-Y gastric bypass.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Female
  • Gastric Bypass* / standards
  • Humans
  • Laparoscopy / standards
  • Obesity, Morbid* / surgery
  • Patient Selection
  • Robotic Surgical Procedures* / standards
  • Treatment Outcome