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Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
Published on: February 7, 2025
Initial experience with robotic sleeve gastrectomy for morbid obesity
Theodoros Diamantis1, Andreas Alexandrou, Nikolaos Nikiteas
1Laiko Athens General Hospital, 1st Department of Surgery, University of Athens, Athens, Greece.
Obesity Surgery
|August 6, 2010
Summary
Robotic laparoscopic sleeve gastrectomy (LSG) is a safe and effective weight loss surgery for morbid obesity. This technique does not increase operative time and shows promising results for excess weight loss.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure for morbid obesity.
- Robotic techniques have been applied to other bariatric surgeries but not previously reported for LSG.
Purpose of the Study:
- To report the initial experience with robotic-assisted LSG using the Da Vinci surgical system.
- To evaluate the feasibility, safety, and efficiency of robotic LSG.
Main Methods:
- Nineteen patients underwent robotic LSG by a single surgical team.
- Standard LSG principles were followed, with distinct roles for console and patient-side surgeons.
- Data on operative time, docking time, and peri-operative outcomes were collected.
Main Results:
- Mean operative time was 95.5 minutes, with a docking time of 16 minutes.
- No conversions to open surgery were required, and peri-operative morbidity/mortality was zero.
- One-year excess body weight loss averaged 65.5%, with operative time comparable to conventional LSG when docking time was excluded.
Conclusions:
- Robotic LSG is a feasible, safe, and efficient surgical option for morbid obesity.
- The robotic approach does not extend the overall operating time compared to conventional LSG.
- This technique demonstrates comparable efficacy in terms of weight loss.
