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The Learning Curve for Robotic Roux-en-Y Gastric Bypass

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Abstract

Gastric bypass has become the gold standard procedure of weight-loss surgery, and the minimally invasive approach improves its outcomes. Laparoscopic gastric bypass, however, remains a technically demanding procedure and is associated with a steep learning curve. This learning curve is associated with longer operative times and increased complication rates. The robotic technology has brought some significant advantages in the field of minimally invasive bariatric surgery by improving dissection and suturing abilities in difficult-to-reach areas of the abdomen. Growing evidence suggests that these characteristics may result in improved clinical outcomes. These advantages, combined with the teaching facilities of the robot such as simulation and tele-mentoring, may also improve and shorten the learning process of minimally invasive gastric bypass. After describing the learning curve of laparoscopic gastric bypass, the present chapter explores the potential benefits of the robotic technology and its impact on the learning process.

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Authors and Affiliations

  1. Abdominal Surgery Department, University Hospital of Geneva, Geneva, Switzerland

    Jonathan Douissard & Nicolas C. Buchs

  2. Department of Surgery, University Hospital Geneva, Geneva, Switzerland

    Monika E. Hagen

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  1. Jonathan Douissard
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  2. Monika E. Hagen
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  3. Nicolas C. Buchs
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Correspondence to Jonathan Douissard .

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Editors and Affiliations

  1. Center for Advanced Thoracic Surgery, Global Robotics Institute Advent Health Celebration, Celebration, FL, USA

    Farid Gharagozloo

  2. Global Robotics Institute, Advent Health Celebration, Celebration, FL, USA

    Vipul R. Patel

  3. Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA

    Pier Cristoforo Giulianotti

  4. Department of Cardiothoracic Surgery, Three Crosses Regional Hospital, Las Cruces, NM, USA

    Robert Poston

  5. Department of Surgery, SUNY Downstate Medical Center, Brooklyn, NY, USA

    Rainer Gruessner

  6. Department of Surgery, Wellington Regional Medical Center, Wellington, FL, USA

    Mark Meyer

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Douissard, J., Hagen, M.E., Buchs, N.C. (2021). The Learning Curve for Robotic Roux-en-Y Gastric Bypass. In: Gharagozloo, F., Patel, V.R., Giulianotti, P.C., Poston, R., Gruessner, R., Meyer, M. (eds) Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-53594-0_60

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