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Review
. 2020 Oct-Dec;24(4):e2020.00062.
doi: 10.4293/JSLS.2020.00062.

Robotic Roux-en-Y Gastric Bypass Procedure Guide

Affiliations
Review

Robotic Roux-en-Y Gastric Bypass Procedure Guide

Jan-Niclas Kersebaum et al. JSLS. 2020 Oct-Dec.

Abstract

Purpose: This is a step-by-step procedural guide to help new and unexperienced surgeons with the implementation of a robotic program for the surgical treatment of morbid obesity.

Methods: Based on our vast robotic experience, we present our standardized technique and also, with a PubMed research, discuss the different surgical aspects.

Results: We present our trainings pathway towards the first robotic Roux-en-Y gastric bypass, a step-by-step procedural guide with helpful hints when it comes to troubleshooting and also discuss some surgical aspects.

Conclusion: The robotic Roux-en-Y gastric bypass is safe and feasible, and might offer some advantages in comparison to the laparoscopic approach.

Keywords: Learning Curve; Procedure Guide; Robotic Roux-en-Y Gastric Bypass; Technical Aspects; Troubleshooting.

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Conflict of interest statement

Conflicts of interest: JHB and WVS are active as speakers for Johnson & Johnson Medical. JHB, TT, JHE, and TB received grants for training with the da Vinci Xi Surgical System through Intuitive Surgical Sàrl. JHB and JHE work as proctors for Intuitive Surgical Sàrl. TB received the da Vinci® Xi Surgical System from Intuitive Surgical Sàrl for the purpose of clinical research. JNK and TM state that there is no conflict of interest. We declare that we have no further competing interests.

Figures

Figure 1.
Figure 1.
Operation room setup for the DaVinci Xi.
Figure 2.
Figure 2.
Trocar placement.

References

    1. Pineda E, Sanchez-Romero LM, Brown M, et al. Forecasting future trends in obesity across Europe: the value of improving surveillance. Obes Facts. 2018;11:360–371. - PMC - PubMed
    1. Angrisani L, Santonicola A, Iovino P, et al. . IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures. Obes Surg. 2018;28(12):3783–3794. - PubMed
    1. Welbourn R, Hollyman M, Kinsman R, et al. . Bariatric Surgery Worldwide: Baseline Demographic Description and One-Year Outcomes from the Fourth IFSO Global Registry Report 2018. Obes Surg. 2019;29(3):782–795. - PubMed
    1. Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic Gastric Bypass, Roux-en-Y: Preliminary Report of Five Cases. Obes Surg Incl Laparosc Allied Care. 1994;4(4):353–357. - PubMed
    1. Banka G, Woodard G, Hernandez-Boussard T, Morton JM. Laparoscopic vs open gastric bypass surgery: Differences in patient demographics, safety, and outcomes. Arch Surg. 2012;147(6):550–556. - PubMed