---
title: "Remote robot-assisted sleeve gastrectomy with anti-reflux surgery: safety and early outcomes"
id: "pubmed-42927966"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42927966"
content_type: "clinical_feed_article"
specialty: "Pharmacology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42927966/"
doi: "10.3760/cma.j.cn441530-20260622-00247"
published_at: "2026-10-25T00:00:00.000Z"
evidence_level: "English Abstract"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Remote robot-assisted sleeve gastrectomy with anti-reflux surgery: safety and early outcomes
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42927966
- **Specialty:** [Pharmacology](https://medichelpline.com/clinical-feed/pharmacology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42927966/)
- **DOI:** [10.3760/cma.j.cn441530-20260622-00247](https://doi.org/10.3760%2Fcma.j.cn441530-20260622-00247)
- **Published At:** 2026-10-25T00:00:00.000Z
- **Evidence Rating:** English Abstract
## Executive GIST (TL;DR)
- Investigators performed a retrospective descriptive case series of 7 patients who underwent **remote robot-assisted sleeve gastrectomy** with concomitant **anti-reflux surgery** between October 2025 and March 2026. - The procedures were done collaboratively with the operator at Xinjiang Uygur Autonomous Region People's Hospital and the patient at Aksu Prefectural First People's Hospital. - Baseline cohort: 1 male and 6 females; mean age 36.4 ± 6.2 years; two had prior abdominal surgery; comorbidities included hypertension (2), diabetes mellitus (1), and reflux esophagitis (1). - Network performance during remote operations: mean latency 73.29 ± 3.73 ms at both operator and patient sides; packet loss rates 0.06 ± 0.03% and 0.02 ± 0.02%; upload/download speeds measured before and during master–slave operation, with no reported lag or signal interruption. - Weight outcomes at 3 months: mean preoperative weight 117.57 ± 17.72 kg → 91.66 ± 8.44 kg; mean BMI decreased from 41.74 ± 4.48 kg/m² to 32.67 ± 2.64 kg/m². - Efficacy metrics at 3 months: mean **%TWL** 21.32 ± 6.75%; mean **%EWL** 53.47 ± 13.89%. - Antireflux symptom scores: median **GERD-Q** decreased from 8 (IQR 6,11) pre-op to 6 (IQR 6,7) at 3 months. - Complications reported: dysphagia (WST grade ≥2) in 2 patients, constipation in 1, chest pain in 2, alopecia in 2, abdominal distension in 2, vomiting in 1. - Symptom trajectory: chest pain, abdominal distension, vomiting and dysphagia resolved gradually by 3 months; constipation and alopecia showed no clear improvement by that timepoint. - Investigators concluded the approach was safe and feasible in this small cohort. - The source did not provide a formal, detailed discussion of study limitations beyond the descriptive case series design and did not report longer-term outcomes beyond 3 months.
## Clinical Analysis & Structured Key Points
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Affiliations Expand ### Affiliations * 1 Graduate School of Xinjiang Medical University, Urumqi 830054, China. * 2 Department of Minimally Invasive, Hernia and Abdominal Wall Surgery, General Minimally Invasive Surgery Institute, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830054, China Xinjiang Clinical Research Center for Gastroesophageal Reflux Disease and Bariatric & Metabolic Surgery, Urumqi 830054, China. * 3 Department of Hepatobiliary Surgery, The First People's Hospital of Aksu Prefecture, Aksu 843099, China. * PMID: **42927966** * DOI: [ 10.3760/cma.j.cn441530-20260622-00247 ](https://doi.org/10.3760/cma.j.cn441530-20260622-00247) Item in Clipboard # [Clinical application analysis of remote robot-assisted sleeve gastrectomy and bariatric anti-reflux surgery] [Article in Chinese] Z Q Zhou et al. Zhonghua Wei Chang Wai Ke Za Zhi. 2026. Show details Display options Display options Format Abstract PubMed PMID Zhonghua Wei Chang Wai Ke Za Zhi Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Zhonghua+Wei+Chang+Wai+Ke+Za+Zhi%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Zhonghua+Wei+Chang+Wai+Ke+Za+Zhi%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42927966/) . 2026 Oct 25;29(10):1220-1226. doi: 10.3760/cma.j.cn441530-20260622-00247. ### Authors [Z Q Zhou](https://pubmed.ncbi.nlm.nih.gov/?term=Zhou+ZQ&cauthor_id=42927966)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42927966/#short-view-affiliation-1 "Graduate School of Xinjiang Medical University, Urumqi 830054, China."), [Aikebaier Aili](https://pubmed.ncbi.nlm.nih.gov/?term=Aili+A&cauthor_id=42927966)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42927966/#short-view-affiliation-2 "Department of Minimally Invasive, Hernia and Abdominal Wall Surgery, General Minimally Invasive Surgery Institute, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830054, China Xinjiang Clinical Research Center for Gastroesophageal Reflux Disease and Bariatric & Metabolic Surgery, Urumqi 830054, China."), [L Si](https://pubmed.ncbi.nlm.nih.gov/?term=Si+L&cauthor_id=42927966)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42927966/#short-view-affiliation-3 "Department of Hepatobiliary Surgery, The First People's Hospital of Aksu Prefecture, Aksu 843099, China."), [Maimaitijiang Kasimu](https://pubmed.ncbi.nlm.nih.gov/?term=Kasimu+M&cauthor_id=42927966)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42927966/#short-view-affiliation-3 "Department of Hepatobiliary Surgery, The First People's Hospital of Aksu Prefecture, Aksu 843099, China."), [Saiyidan Nijiati](https://pubmed.ncbi.nlm.nih.gov/?term=Nijiati+S&cauthor_id=42927966)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42927966/#short-view-affiliation-1 "Graduate School of Xinjiang Medical University, Urumqi 830054, China."), [Z P Ma](https://pubmed.ncbi.nlm.nih.gov/?term=Ma+ZP&cauthor_id=42927966)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42927966/#short-view-affiliation-1 "Graduate School of Xinjiang Medical University, Urumqi 830054, China."), [Kelimu Abudureyimu](https://pubmed.ncbi.nlm.nih.gov/?term=Abudureyimu+K&cauthor_id=42927966)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42927966/#short-view-affiliation-2 "Department of Minimally Invasive, Hernia and Abdominal Wall Surgery, General Minimally Invasive Surgery Institute, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830054, China Xinjiang Clinical Research Center for Gastroesophageal Reflux Disease and Bariatric & Metabolic Surgery, Urumqi 830054, China.") ### Affiliations * 1 Graduate School of Xinjiang Medical University, Urumqi 830054, China. * 2 Department of Minimally Invasive, Hernia and Abdominal Wall Surgery, General Minimally Invasive Surgery Institute, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830054, China Xinjiang Clinical Research Center for Gastroesophageal Reflux Disease and Bariatric & Metabolic Surgery, Urumqi 830054, China. * 3 Department of Hepatobiliary Surgery, The First People's Hospital of Aksu Prefecture, Aksu 843099, China. * PMID: **42927966** * DOI: [ 10.3760/cma.j.cn441530-20260622-00247 ](https://doi.org/10.3760/cma.j.cn441530-20260622-00247) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID Linked Discoveries ## Abstract in [ English, ](https://pubmed.ncbi.nlm.nih.gov/42927966/#eng-abstract) [ Chinese ](https://pubmed.ncbi.nlm.nih.gov/42927966/#zho-abstract) **Objective:** To evaluate the safety and feasibility of remote robot-assisted sleeve gastrectomy with concomitant anti-reflux surgery. **Methods:** A descriptive case series study was conducted. We retrospectively enrolled 7 patients who underwent remote robot-assisted sleeve gastrectomy with concomitant anti-reflux surgery, which was collaboratively performed by Xinjiang Uygur Autonomous Region People's Hospital (operator side) and Aksu Prefectural First People's Hospital (patient side) from October 2025 to March 2026. Baseline characteristics, intraoperative parameters, intraoperative network performance, and 3 month postoperative followup data were collected. The outcomes analyzed included weight loss efficacy [percentage of excess weight loss (%EWL) and percentage of total weight loss (%TWL)], antireflux effect (GERDQ score), and incidence of complications. **Results:** A total of 7 patients undergoing remote bariatric surgery were enrolled, including 1 male and 6 females. Among them, 2 patients had a history of previous abdominal surgery, 2 had hypertension, 1 had diabetes mellitus, and 1 had reflux esophagitis. The mean age was (36.4±6.2) years. During remote surgery, the mean latency at the operator side and the patient side were (73.29±3.73) ms; the average packet loss rates were (0.06±0.03)% and (0.02±0.02)% respectively; the mean upload speed before and after master-slave operation were (190.89±81.98) Mbps and (71.22±10.28) Mbps;and the mean download speed before and after master-slave operation were (144.00±58.93) Mbps and (78.13±18.56) Mbps respectively. no operation lag or signal interruption occurred throughout the procedure. The mean preoperative body weight of the patients was (117.57±17.72) kg, and the mean body weight at 3 months postoperatively was (91.66±8.44) kg. The mean preoperative body mass index (BMI) was (41.74±4.48) kg/m², and the mean BMI at 3 months postoperatively was (32.67±2.64) kg/m². The median preoperative GERD-Q score was 8 (interquartile range, _Q1, Q3_ : 6, 11), and the GERD-Q score at 3 months postoperatively was 6 (_Q1, Q3_ : 6, 7). At 3 months after surgery, %TWL was (21.32±6.75)%, and %EWL was (53.47±13.89)%. In terms of postoperative complications, there were 2 cases of dysphagia (water swallowing test [WST] grade ≥ 2), 1 case of constipation, 2 cases of chest pain, 2 cases of alopecia, 2 cases of abdominal distension, and 1 case of vomiting. Among these patients, those with chest pain, abdominal distension, vomiting, and WST grade≥2 dysphagia achieved gradual and spontaneous resolution by 3 months postoperatively, while the symptoms of constipation and alopecia showed no significant improvement. **Conclusion:** Remote robot-assisted sleeve gastrectomy and sleeve gastrectomy with concomitant anti-reflux surgery are safe and feasible. **目的：** 评估远程机器人辅助袖状胃切除及其联合抗反流手术的安全性和可行性。 **方法：** 采用描述性病例系列研究的方法，回顾性纳入2025年10月至2026年3月新疆维吾尔自治区人民医院（操作端）与阿克苏地区第一人民医院（患者端）合作完成的7例远程机器人辅助袖状胃切除术及其联合抗反流手术患者，收集其基线资料、术中指标、术中网络情况、术后3个月随访数据，分析减重效果［如多余体质量减少百分比（%EWL）和总体质量减少百分比（%TWL）］、抗反流效果（GERD-Q评分）及并发症发生情况。 **结果：** 共纳入7例患者，其中男性1例，女性6例；年龄（36.4±6.2）岁；既往腹部手术史2例，高血压2例，糖尿病1例，反流性食管炎1例。远程手术中操作端及患者端平均时延均为（73.29±3.73）ms，平均丢包率分别为（0.06±0.03）%和（0.02±0.02）%，主从操作前后平均上传速度分别为（190.89±81.98）Mbps和（71.22±10.28）Mbps，主从操作前后平均下载速度分别为（144.00±58.93）Mbps和（78.13±18.56）Mbps，全程无操作卡顿和信号中断。患者术前和术后3个月体质量分别为（117.57±17.72）kg和（91.66±8.44）kg，体质指数分别为（41.74±4.48）kg/m2和（32.67±2.64）kg/m2，中位GERD-Q评分分别为8（6，11）分和6（6，7）分。患者术后3个月%TWL和%EWL分别为（21.32±6.75）%和（53.47±13.89）%。在术后并发症方面，吞咽困难（洼田饮水试验≥2级）2例，便秘1例，胸痛2例，脱发2例，腹胀2例，呕吐1例。其中胸痛、腹胀、呕吐、洼田饮水试验≥2级的患者于术后3个月逐渐自行好转，便秘患者和脱发患者症状无明显改变。 **结论：** 远程机器人辅助袖状胃切除术及袖状胃切除联合抗反流手术安全可行。. 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> [!CAUTION]
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> Always verify dosing, contraindications, and regulatory alerts against official product labeling and primary regulatory sources before clinical decision-making.