Research Summary
Analyzed using Evidence Intelligence™

Robotic surgery may improve metabolic outcomes in type 2 diabetes

Last updated July 11, 2026

Key finding

The first patient showed significant weight loss after 12 months.

This study evaluated robotic surgical strategies for managing Type 2 diabetes, showing promising outcomes in weight loss and insulin reduction.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated robotic surgical strategies for managing Type 2 diabetes, showing promising outcomes in weight loss and insulin reduction.

Clinical relevance

These findings suggest that robotic surgical interventions could be a viable option for patients with Type 2 diabetes, potentially leading to significant improvements in weight management and metabolic health. This could reduce the burden of diabetes-related complications and improve quality of life.

Keep in mind

Non-randomized study design limits causal inference. Small sample size may affect generalizability. Lack of long-term follow-up data.

Published in

Journal Reference

Publication details and source links for this paper.

Alcides JBF, Marcos B, Gabriel CB, Rafaella MB, Virgílio FR, Luiz AVD. Robotic Surgical Strategies Targeting Hormonal Modulation and Sympathetic Overactivity in Type 2 Diabetes. Frontiers in Surgery. 2025;12:1657656. doi:10.3389/fsurg.2025.1657656

Main Effects

Weight loss of -9.21 kg in the first patient after 12 months.

Reduced insulin requirements by -1.5 units in the first patient after 12 months.

Post-operative HbA1c decreased from 7.3% to 6.4% in the first patient.

Post-operative HbA1c decreased from 9.5% to 6.6% in the second patient.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Sleeve gastrectomy and Decreased paresthesia in lower limbs, HbA1c, Reduced insulin requirements after surgery, and 2 more.

Primary intervention

Sleeve gastrectomy

Primary outcomes

  • Decreased paresthesia in lower limbs
  • HbA1c
  • Reduced insulin requirements after surgery

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 63

1

Related topics

5

Evidence pairs

205

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Bariatric Procedures and HbA1c

Related evidence

Evidence topic

HbA1c Reduction

Save evidence

Intervention

Bariatric Procedures

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Decreased paresthesia in lower limbs

Sleeve gastrectomy → Decreased paresthesia in lower limbs

Sleeve gastrectomy → Decreased paresthesia in lower limbs

Evidence Intelligence™
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Sleeve gastrectomy → HbA1c

Sleeve gastrectomy → HbA1c

Evidence Intelligence™
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Reduced insulin requirements after surgery

Sleeve gastrectomy → Reduced insulin requirements after surgery

Sleeve gastrectomy → Reduced insulin requirements after surgery

Evidence Intelligence™
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Resolution of sleep apnea symptoms

Sleeve gastrectomy → Resolution of sleep apnea symptoms

Sleeve gastrectomy → Resolution of sleep apnea symptoms

Evidence Intelligence™
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Weight loss at 6 months

Sleeve gastrectomy → Weight loss at 6 months

Sleeve gastrectomy → Weight loss at 6 months

Evidence Intelligence™
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • First patient lost 9.21 kg after surgery.
  • Insulin requirements decreased by 1.5 units in the first patient.
  • HbA1c improved significantly in both patients.
who this applies

Who this applies to

  • Adults with Type 2 diabetes.
  • Patients seeking surgical options for weight loss.
keep in mind

Keep in Mind

  • Results are based on a small sample size.
  • Further research is needed to confirm findings.
  • Long-term effects of these surgical interventions remain unclear.
between the lines

Between the Lines

  • Non-randomized study design limits causal inference.
  • Small sample size may affect generalizability.
  • Lack of long-term follow-up data.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Bariatric Procedures improve HbA1c?

Limited Evidence

Bariatric Procedures appears to improve HbA1c.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Unknown | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Sleeve gastrectomy improve decreased paresthesia in lower limbs?

Limited Evidence

Sleeve gastrectomy appears to improve Decreased paresthesia in lower limbs.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Decreased paresthesia in lower limbs

    EvidenceScore™ Unknown | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Sleeve gastrectomy improve reduced insulin requirements after surgery?

Limited Evidence

Sleeve gastrectomy appears to improve Reduced insulin requirements after surgery.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Reduced insulin requirements after surgery

    EvidenceScore™ Unknown | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Sleeve gastrectomy improve resolution of sleep apnea symptoms?

Limited Evidence

Sleeve gastrectomy appears to improve Resolution of sleep apnea symptoms.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Resolution of sleep apnea symptoms

    EvidenceScore™ Unknown | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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