Advertisement

Robotic Assisted Bariatric Surgery

  • Ranjan SudanEmail author
  • Brandon V. Henry
  • Vivek Bindal
  • Erica Podolsky

Abstract

Intuitive Surgical, Inc., United States of America obtained Food and Drug Administration approval in 2000 and introduced the da VinciTM robot system in the United States providing an alternative platform for performing minimally invasive surgery. The system offers enhanced three-dimensional vision and wrist-like articulating instrumentation providing ergonomic and technical advantages to the surgeon. Soon after its introduction, we used the da VinciTM system, for complex abdominal operations including bariatric procedures. Its use has now been described for adjustable gastric band, sleeve gastrectomy, Roux-en-Y gastric bypass and biliopancreatic diversion with or without duodenal switch.

Keywords

Robot Robotic surgery Bariatric surgery Adjustable gastric band Sleeve gastrectomy Roux en y Biliopancreatic diversion Duodenal switch 

Supplementary material

314758_1_En_38_MOESM1_ESM.mp4 (279.6 mb)
Video 38.1 Totally robotic Roux-en-Y gastric bypass (MP4 286331 kb)
314758_1_En_38_MOESM2_ESM.mp4 (96.6 mb)
Video 38.2 Totally robotic biliopancreatic diversion with duodenal switch (MP4 98883 kb)

References

  1. 1.
    Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4(4):353–7.CrossRefPubMedGoogle Scholar
  2. 2.
    Nguyen NT, Masoomi H, Magno CP, Nguyen XM, Laugenour K, Lane J. Trends in use of bariatric surgery, 2003–2008. J Am Coll Surg. 2011;213(2):261–6.CrossRefPubMedGoogle Scholar
  3. 3.
    Nguyen NT, Goldman C, Rosenquist CJ, Arango A, Cole CJ, Lee SJ, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234(3):279–89; discussion 89–91.PubMedCentralCrossRefPubMedGoogle Scholar
  4. 4.
    Sudan R, Puri V, Sudan D. Robotically assisted biliary pancreatic diversion with a duodenal switch: a new technique. Surg Endosc. 2007;21(5):729–33.CrossRefPubMedGoogle Scholar
  5. 5.
    Fazylov RM, Savel RH, Horovitz JH, Pagala MK, Coppa GF, Nicastro J, et al. Association of super-super-obesity and male gender with elevated mortality in patients undergoing the duodenal switch procedure. Obes Surg. 2005;15(5):618–23.CrossRefPubMedGoogle Scholar
  6. 6.
    Schauer P, Ikramuddin S, Hamad G, Gourash W. The learning curve for laparoscopic Roux-en-Y gastric bypass is 100 cases. Surg Endosc. 2003;17(2):212–5.CrossRefPubMedGoogle Scholar
  7. 7.
    Shikora SA, Kim JJ, Tarnoff ME, Raskin E, Shore R. Laparoscopic Roux-en-Y gastric bypass: results and learning curve of a high-volume academic program. Arch Surg. 2005;140(4):362–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37. Review. Erratum in: JAMA. 2005;293(14):1728.Google Scholar
  9. 9.
    Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10(6):514–23; discussion 524.CrossRefPubMedGoogle Scholar
  10. 10.
    Jacobsen G, Berger R, Horgan S. The role of robotic surgery in morbid obesity. J Laparoendosc Adv Surg Tech A. 2003;13(4):279–83.CrossRefPubMedGoogle Scholar
  11. 11.
    Muhlmann G, Klaus A, Kirchmayr W, Wykypiel H, Unger A, Holler E, et al. DaVinci robotic-assisted laparoscopic bariatric surgery: is it justified in a routine setting? Obes Surg. 2003;13(6):848–54.CrossRefPubMedGoogle Scholar
  12. 12.
    Edelson PK, Dumon KR, Sonnad SS, Shafi BM, Williams NN. Robotic vs. conventional laparoscopic gastric banding: a comparison of 407 cases. Surg Endosc. 2011;25(5):1402–8.CrossRefPubMedGoogle Scholar
  13. 13.
    Ayloo S, Buchs NC, Addeo P, Bianco FM, Giulianotti PC. Robot-assisted sleeve gastrectomy for super-morbidly obese patients. J Laparoendosc Adv Surg Tech A. 2011;21(4):295–9.CrossRefPubMedGoogle Scholar
  14. 14.
    Diamantis T, Alexandrou A, Nikiteas N, Giannopoulos A, Papalambros E. Initial experience with robotic sleeve gastrectomy for morbid obesity. Obes Surg. 2011;21(8):1172–9.CrossRefPubMedGoogle Scholar
  15. 15.
    Elli EF, Masrur MA, Giulianotti PC. Robotic sleeve gastrectomy after liver transplantation. Surg Obes Relat Dis. 2013;9(1):e20–2.CrossRefPubMedGoogle Scholar
  16. 16.
    Hagen ME, Sedrak M, Wagner OJ, Jacobsen G, Talamini M, Horgan S. Morbid obesity with achalasia: a surgical challenge. Obes Surg. 2010;20(10):1456–8.PubMedCentralCrossRefPubMedGoogle Scholar
  17. 17.
    Sudan R, Kasotakis G, Betof A, Wright A. Sleeve gastrectomy strictures: technique for robotic-assisted strictureplasty. Surg Obes Relat Dis. 2010;6(4):434–6.CrossRefPubMedGoogle Scholar
  18. 18.
    Deng JY, Lourie DJ. 100 robotic-assisted laparoscopic gastric bypasses at a community hospital. Am Surg. 2008;74(10):1022–5.PubMedGoogle Scholar
  19. 19.
    Park CW, Lam EC, Walsh TM, Karimoto M, Ma AT, Koo M, et al. Robotic-assisted Roux-en-Y gastric bypass performed in a community hospital setting: the future of bariatric surgery? Surg Endosc. 2011;25(10):3312–21.CrossRefPubMedGoogle Scholar
  20. 20.
    Tieu K, Allison N, Snyder B, Wilson T, Toder M, Wilson E. Robotic-assisted Roux-en-Y gastric bypass: update from 2 high-volume centers. Surg Obes Relat Dis. 2013;9(2):284–8.CrossRefPubMedGoogle Scholar
  21. 21.
    Markar SR, Karthikesalingam AP, Venkat-Ramen V, Kinross J, Ziprin P. Robotic vs. laparoscopic Roux-en-Y gastric bypass in morbidly obese patients: systematic review and pooled analysis. Int J Med Robot. 2011;7(4):393–400.CrossRefPubMedGoogle Scholar
  22. 22.
    Buchs NC, Pugin F, Bucher P, Hagen ME, Chassot G, Koutny-Fong P, et al. Learning curve for robot-assisted Roux-en-Y gastric bypass. Surg Endosc. 2012;26(4):1116–21.CrossRefPubMedGoogle Scholar
  23. 23.
    Sanchez BR, Mohr CJ, Morton JM, Safadi BY, Alami RS, Curet MJ. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2005;1(6):549–54.CrossRefPubMedGoogle Scholar
  24. 24.
    Sudan R, Bennett KM, Jacobs DO, Sudan DL. Multifactorial analysis of the learning curve for robot-assisted laparoscopic biliopancreatic diversion with duodenal switch. Ann Surg. 2012;255(5):940–5.CrossRefPubMedGoogle Scholar
  25. 25.
    Jain-Spangler K, Portenier D, Torquati A, Sudan R. Conversion of vertical banded gastroplasty to stand-alone sleeve gastrectomy or biliopancreatic diversion with duodenal switch. J Gastrointest Surg. 2013;17(4):805–8.CrossRefPubMedGoogle Scholar
  26. 26.
    Sudan R, Desai S. Conversion of laparoscopic adjustable gastric band to robot-assisted laparoscopic biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis. 2011;7(4):546–7.CrossRefPubMedGoogle Scholar
  27. 27.
    Puri V, Ramachandran J, Sudan R. Experience with the duodenal switch operation in the presence of intestinal malrotation. Obes Surg. 2008;18(5):615–7.CrossRefPubMedGoogle Scholar
  28. 28.
    Sudan RDS. Emergency and weekend robotic surgery are feasible. J Robot Surg. 2012;6(3):263–6.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Ranjan Sudan
    • 1
    Email author
  • Brandon V. Henry
    • 2
  • Vivek Bindal
    • 2
  • Erica Podolsky
    • 2
  1. 1.Department of SurgeryDuke University Medical CenterDurhamUSA
  2. 2.Department of SurgeryDuke University HospitalDurhamUSA

Personalised recommendations