Abstract
Introduction. The incidence of obesity has increased over the time. Nowadays, this condition has become a worldwide burden. Bariatric surgery has been developed as a long-term strategy for obesity treatment, reporting proof of efficacy in terms of weight loss and improvement of comorbidities.
Methods. Sleeve gastrectomy is a restrictive non-malabsorptive procedure. Today, this technique has become the most performed bariatric surgery in the United States. The evolution of technology and the need to reach better outcomes, not only for the patient but also for the surgeon, has led to the introduction of laparoscopic robotic-assisted surgery. The basis of the surgical technique performed with the da Vinci® system is similar to the laparoscopic approach, with the advantage of a third and extra fourth arm commanding by the surgeon.
Results. The robot offers improved dexterity, tremor filtration, binocular three-dimensional imaging, surgeon-controlled camera, and upgraded ergonomics. It also eliminates the “torque effect” of the abdominal wall. The development and addition of the EndoWrist® Stapler and EndoWrist® One™ Vessel Sealer (Intuitive Surgical, Inc.) has been a useful innovation, a tool directly controlled by the surgeon.
Conclusion. Robotic sleeve gastrectomy is a feasible, safe, and effective surgical approach. It allows the performance of a solo surgery and improves the ergonomics for the surgeon. The costs and reduction of operative time will decrease as procedures and experience increase.
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Vico, T.D., Elli, E.F. (2021). Robotic Sleeve Gastrectomy. 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_62
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