Robotic Bariatric Surgery is not Supported by Current Literature

Abstract Purpose of Review To evaluate whether current evidence supports the use of robotic-assisted techniques over laparoscopic approaches in bariatric surgery. Background Robotic platforms have gained popularity in minimally invasive surgery, including bariatric procedures, due to their ergonomic and technical advantages. However, concerns persist regarding the cost-effectiveness and clinical benefits relative to laparoscopy. Brief Summary This review critically analyzes the existing literature comparing robotic and laparoscopic bariatric surgery, focusing on cost, operative outcomes, complication rates, and applicability in complex cases. The findings demonstrate that while robotic surgery is safe and feasible, it incurs significantly higher costs without providing superior weight loss, complication reduction, or metabolic outcomes. Even in high-risk subgroups such as revisional or super-obese patients, the clinical advantages remain marginal and inconsistent. Current data, primarily from retrospective studies, do not justify the routine adoption of robotics in bariatric surgery.