Abstract
minimally invasive bariatric surgery is clearly superior over open procedures including better early outcomes. Different surgical approaches are used to treat the severely obese, having Roux-en-Y gastric bypass (RYGB) being a highly frequent procedure. Robotic surgery overcomes some laparoscopic limitations adding ergonomics, articulating instruments and a three-dimensional high definition camera. Based on our vast robotic experience, we present our referred group case series and a standardized Robotic Roux-en-Y gastric bypass (rRYGB) technique as well as its outcomes. a review of a prospective maintained database was conducted in patients submitted to robotic Roux en Y bariatric surgery between April 2015 and July 2019. Surgical technique is described and illustrated. We also reported patients demographics, outcomes and its follow-up. a Retrospective analysis identified 329 patients submitted to Robotic Roux-en-Y gastric bypass. Both da Vinci Si and Xi platforms were used. Mean age was 34.4 years, with median BMI of 44.2 kg/m2. Mean console time was 102 min and there was no conversion. No surgical hospital readmission rates were seen in the first 30 days. this study represents our initial experience of robotic Roux-en-Y gastric bypass (rRYGB), its short outcomes and a standardized surgical technique. Our results encourage that rRYGB is technically feasible and safe, and might offer some advantages showing good outcomes and minimal complications.
Highlights
Obesity has reached pandemic levels and currently affects more than 650 million individuals worldwide, representing 13% of the global adult population[1]
We present our group case series experience and the early outcomes. This is a retrospective review of a prospective maintained database of all robotic Roux-en-Y gastric bypass operations performed by our single surgical group between April 2015, and July 2019
Robotic surgery was performed in all cases, with no conversion to laparoscopic or open technique
Summary
Obesity has reached pandemic levels and currently affects more than 650 million individuals worldwide, representing 13% of the global adult population[1]. Bariatric surgery is a well-established treatment option for morbid obese patients, with many available different surgical approaches, which are currently the only effective and durable therapeutic option for this life-threatening condition[2,3]. Open bariatric procedures may be performed, the wound-related complications such as infection and incisional hernia can be troublesome. The benefits of the minimally invasive surgery for morbid obese patients are obvious, offering reduced wound complications and shorter hospital stays[4]. Performing bariatric surgery can be technically demanding in many situations with a flat learning curve that might require up to 500 cases[5]. Even high skilled surgeons routinely face challenging situations in laparoscopy due to extremely large patients, large and heavy livers, thick abdominal walls and substantial visceral fat, which interfere in exposure, dissection, and reconstruction
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