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

Huttman, MM.; Smith, AN.; Robertson, HF.; Purves, R.; Biggs, SE.; Dewi, F.; Dixon, LK.; Kirkham, EN.; Jones, CS.; Ramirez, J.; Scroggie, DL.; Pathak, S.; Blencowe, NS.

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

All Authors

Huttman, MM.

Smith, AN.

Robertson, HF.

Purves, R.

Biggs, SE.

Dewi, F.

Dixon, LK.

Kirkham, EN.

Jones, CS.

Ramirez, J.

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LTHT Author

Pathak, Samir
Blencowe, Natalie

LTHT Department

General Surgery

Publication Date

2024

Item Type

Systematic Review
Journal Article

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.