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Robotically Assisted Single Anastomosis Duodenoileal Bypass after Previous Sleeve Gastrectomy Implementing High
Ramon Vilallonga1, José Manuel Fort1, Enric Caubet1
1Endocrine, Metabolic and Bariatric Unit, General Surgery Department, Vall d'Hebron University Hospital, Center of Excellence for the EAC-BC, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Journal of Obesity
|October 23, 2015
Summary
Robotically assisted single anastomosis duodenoileal bypass-sleeve (SADI) is a viable staged bariatric procedure for high-risk patients. This minimally invasive technique offers potential advantages in dissection and anastomosis compared to laparoscopy.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Staged bariatric procedures are common for morbidly obese patients.
- Further weight loss or comorbidity resolution may require secondary procedures after sleeve gastrectomy.
Purpose of the Study:
- To present the technique for totally intracorporeal robotically assisted single anastomosis duodenoileal bypass-sleeve (SADI).
- To evaluate the advantages of robotic technology in anastomosis and dissection compared to standard laparoscopy for SADI.
- To discuss the safety, feasibility, and reproducibility of this robotic approach.
Main Methods:
- Totally intracorporeal robotically assisted SADI performed using a five-port technique.
- Inclusion of a liver retractor for optimal surgical access.
- Comparison of robotic approach outcomes with standard laparoscopic procedures.
Main Results:
- The robotic approach facilitates complex abdominal operations like SADI.
- Potential for improved anastomosis and dissection quality with robotic assistance.
- Demonstration of safety, feasibility, and reproducibility in a minimally invasive setting.
Conclusions:
- Robotically assisted SADI is a safe and feasible minimally invasive option for staged bariatric surgery.
- The robotic approach may offer benefits in surgical precision for SADI.
- This technique is reproducible for complex bariatric revisions.
