PMID- 35407426 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220423 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 11 IP - 7 DP - 2022 Mar 25 TI - Current Status of Robot-Assisted Revisional Bariatric Surgery. LID - 10.3390/jcm11071820 [doi] LID - 1820 AB - Bariatric surgery has been demonstrated to be effective in achieving significant weight loss and remission of obesity-related comorbidities. However, a percentage of patients fail to lose enough weight, regain weight, or experience postoperative complications, requiring additional interventions. Revisional bariatric surgeries (RBS) involve the wide spectrum of procedures that aim to treat complications of the index operation or achieve further weight loss. These are technically challenging procedures due to adhesions of the internal organs, reduced working space, and a distorted anatomy. Indications, timing, and type of operation for RBS are not standardized, and there is no consensus on the best surgical approach. Some authors claim a robotic platform could be advantageous in these types of procedures that are performed in reduced, deep operating fields, or those requiring precision and accuracy. This review examines the most current and representative literature on the outcomes of robot-assisted RBS. Included studies demonstrate the safety and feasibility of the robotic approach for RBS. However, long operative times and high costs remain major drawbacks of the device. Finally, if we consider that many centers have not yet completed the learning curve for robot-assisted RBS, the potential for improved outcomes seems promising. FAU - Vanetta, Carolina AU - Vanetta C AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Dreifuss, Nicolas H AU - Dreifuss NH AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Schlottmann, Francisco AU - Schlottmann F AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Mangano, Alberto AU - Mangano A AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Cubisino, Antonio AU - Cubisino A AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Valle, Valentina AU - Valle V AUID- ORCID: 0000-0002-8211-7370 AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Baz, Carolina AU - Baz C AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Bianco, Francesco M AU - Bianco FM AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Hassan, Chandra AU - Hassan C AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Gangemi, Antonio AU - Gangemi A AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. FAU - Masrur, Mario A AU - Masrur MA AD - Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA. LA - eng PT - Journal Article PT - Review DEP - 20220325 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC9000174 OTO - NOTNLM OT - laparoscopic revisional bariatric surgery OT - minimally invasive bariatric surgery OT - revisional bariatric surgery OT - robot-assisted bariatric surgery OT - robot-assisted revisional bariatric surgery COIS- The authors declare no conflict of interest. EDAT- 2022/04/13 06:00 MHDA- 2022/04/13 06:01 PMCR- 2022/03/25 CRDT- 2022/04/12 01:07 PHST- 2022/02/26 00:00 [received] PHST- 2022/03/21 00:00 [revised] PHST- 2022/03/23 00:00 [accepted] PHST- 2022/04/12 01:07 [entrez] PHST- 2022/04/13 06:00 [pubmed] PHST- 2022/04/13 06:01 [medline] PHST- 2022/03/25 00:00 [pmc-release] AID - jcm11071820 [pii] AID - jcm-11-01820 [pii] AID - 10.3390/jcm11071820 [doi] PST - epublish SO - J Clin Med. 2022 Mar 25;11(7):1820. doi: 10.3390/jcm11071820.