Abstract
Since its appear in the year 1997, when Drs. Cadiere and Himpens did the first robotic cholecystectomy in Brussels, not long after the first cholecystectomy, they performed the first robotic bariatric procedure. It is believed that robotically-assisted surgery’s most notable contributions are reflected in its ability to extend the benefits of minimally invasive surgery to procedures not routinely performed using minimal access techniques. We describe the 3 most common bariatric procedures done by robot. The main advantages of the robotic system applied to the gastric bypass appear to be better control of stoma size, avoidance of stapler costs, elimination of the potential for oropharyngeal and esophageal trauma, and a potential decrease in wound infection. While in the sleeve gastrectomy and adjustable gastric banding its utility is more debatable, giving a bigger advantage during surgery on patients with a very large BMI or revisional cases.
Highlights
Since its appear in the year 1997, when Drs Cadiere and Himpens did the first robotic cholecystectomy in Brussels [1], the da VinciTM Robotic Surgical System from Intuitive Surgical, Inc., Sunny Vale, California (Fig. 1) has started a revolution in the surgery field
Since all procedures have been evolved into a robotic approach as an option to standard laparoscopy: adjustable gastric banding, sleeve gastrectomy, gastric bypass, biliopancreatic diversion with duodenal switch and revisional bariatric procedures
If we reduce the complication rates by using the robotic approach maybe the cost is not as high as it would seem and as more industry investments continue and more competition develops in this area the cost will go down
Summary
Since its appear in the year 1997, when Drs Cadiere and Himpens did the first robotic cholecystectomy in Brussels [1], the da VinciTM Robotic Surgical System from Intuitive Surgical, Inc., Sunny Vale, California (Fig. 1) has started a revolution in the surgery field. Since all procedures have been evolved into a robotic approach as an option to standard laparoscopy: adjustable gastric banding, sleeve gastrectomy, gastric bypass, biliopancreatic diversion with duodenal switch and revisional bariatric procedures.
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