Bristol Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road BS8 2PS, Bristol, BS81QU, UK.
University College Hospital, University College London Hospitals NHS Foundation Trust, London, NW12PB, UK.
Obes Surg. 2024 Aug;34(8):3058-3070. doi: 10.1007/s11695-024-07329-8. Epub 2024 Jun 19.
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.
机器人 Roux-en-Y 胃旁路术（RRYGB）是传统腹腔镜方法的一种创新替代方法。已经有文献发表研究其安全性/疗效；然而，报告的质量尚不确定。本系统评价使用理念、开发、探索、评估和长期随访（IDEAL）框架评估现有文献的报告质量。制定了叙述性总结，评估了治理/伦理、患者选择、人口统计学、外科医生专业知识/培训、技术描述和结果的报告全面程度。纳入了 2005 年至 2024 年期间发表的 47 项研究。在治理/伦理、患者选择、外科医生专业知识/培训和技术描述方面的报告不完整/不一致，结果报告也存在异质性。RRYGB 的报告质量较差，不符合 IDEAL 指南。需要使用 IDEAL/其他指南进行强有力的前瞻性研究报告结果，以促进 RRYGB 和其他手术创新的安全广泛采用。
