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
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
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Study focus
This study evaluated robotic surgical strategies for managing Type 2 diabetes, showing promising outcomes in weight loss and insulin reduction.
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.
Non-randomized study design limits causal inference. Small sample size may affect generalizability. Lack of long-term follow-up data.
Published in
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
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
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This study contributes evidence to Sleeve gastrectomy and Decreased paresthesia in lower limbs, HbA1c, Reduced insulin requirements after surgery, and 2 more.
This study contributes evidence to
Primary intervention
Sleeve gastrectomy
Primary outcomes
Evidence topics
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
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3
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831
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Contributes evidence
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Contributes evidence
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Contributes evidence
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Primary evidence
Evidence relationship
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Core evidence
The primary outcomes reported in this study.
Sleeve gastrectomy → Decreased paresthesia in lower limbs
Sleeve gastrectomy → Decreased paresthesia in lower limbs
Sleeve gastrectomy → Reduced insulin requirements after surgery
Sleeve gastrectomy → Reduced insulin requirements after surgery
Sleeve gastrectomy → Resolution of sleep apnea symptoms
Sleeve gastrectomy → Resolution of sleep apnea symptoms
Sleeve gastrectomy → Weight loss at 6 months
Sleeve gastrectomy → Weight loss at 6 months
Evidence Library
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Bariatric Procedures and HbA1c.
This study contributes to the evidence on the following intervention-outcome relationships.
Procedures
Curated evidence collections and hubs this study is part of.
All studies on Bariatric Procedures
Contributes to Bariatric Procedures evidence base.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
Latest published studies
Published within the last 2 years.
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Generated from the study's connected evidence using Evidence Intelligence™.
Bariatric Procedures appear to affect weight loss outcomes.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Weight loss at 6 months
EvidenceScore™ Strong | EvidenceScore™ 79.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.
Bariatric Procedures appear to lower HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 79.0 | strong positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on 6 supporting studies with consistent results and a positive effect signal.
Sleeve gastrectomy appears to improve decreased paresthesia in lower limbs.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
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
Sleeve gastrectomy appears to improve reduced insulin requirements after surgery.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
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
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