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

## TL;DR

This paper reviews how well studies on robotic gastric bypass surgery report their methods and results, finding significant gaps in quality and consistency.

## Contribution

The study evaluates the reporting quality of robotic Roux-en-Y gastric bypass using the IDEAL framework for the first time.

## Key findings

- Forty-seven studies showed incomplete reporting of governance, ethics, and surgeon training.
- Outcome reporting was inconsistent and did not align with IDEAL guidelines.
- The study highlights the need for better prospective research using standardized reporting frameworks.

## 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.

The online version contains supplementary material available at 10.1007/s11695-024-07329-8.