Robotically Assisted Single Anastomosis Duodenoileal Bypass after Previous Sleeve Gastrectomy Implementing High Valuable Technology for Complex Procedures

Staged bariatric procedures in high risk patients are a common used strategy for morbid obese patients nowadays. After previous sleeve gastrectomy, surgical treatments in order to complete weight loss or comorbidities improvements or resolutions are possible. One strategy is to perform a novel techn...

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Bibliographic Details
Published in:Journal of Obesity 2015-01, Vol.2015 (2015), p.231-236
Main Authors: Armengol, Manuel, Balibrea, José Maria, Gonzalez, Oscar, Caubet, Enric, Fort, José Manuel, Vilallonga, Ramon, Ciudin, Andreea
Format: Article
Language:English
Subjects:
Anastomosis, Surgical - methods
Care and treatment
Diabetes Mellitus, Type 2 - prevention & control
Duodenum - surgery
Feasibility Studies
Gastrectomy
Gastrectomy - methods
Gastric Bypass - methods
Humans
Ileum - surgery
Laparoscopy - methods
Obesity
Obesity, Morbid - prevention & control
Obesity, Morbid - surgery
Patient outcomes
Physiological aspects
Reoperation
Reproducibility of Results
Robotics - methods
Surgery
Treatment Outcome
Weight Loss
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Summary:Staged bariatric procedures in high risk patients are a common used strategy for morbid obese patients nowadays. After previous sleeve gastrectomy, surgical treatments in order to complete weight loss or comorbidities improvements or resolutions are possible. One strategy is to perform a novel technique named SADI (single anastomosis duodenoileal bypass-sleeve). We present the technique for totally intracorporeal robotically assisted SADI using five ports and a liver retractor. We aim to see if the robotic technology offers more advantageous anastomosis and dissection obtained by the robotic approach in comparison to standard laparoscopy. The safety, feasibility, and reproducibility of a minimally invasive robotic surgical approach to complex abdominal operations such as SADI are discussed.
ISSN:2090-0708
2090-0716
DOI:10.1155/2015/586419