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Robotic sleeve gastrectomy is a robotic-assisted weight loss procedure that uses our da Vinci robotic system. Robotics is an advanced tool that enhances the surgeon’s ability to perform surgical procedures with more precision. The procedure involves the removal of the outer margin of the stomach to restrict the intake of food to a certain degree. Additionally, the part of the stomach which produces the Ghrelin hormones that cause hunger pangs is removed, hence leading to significant weight loss.

Ideal Candidate for Robotic Sleeve Gastrectomy

For one to be considered for the procedure, they should:

  • Have a BMI of 35 or more
  • In addition to being overweight, they should have obesity-related conditions such as type 2 diabetes or high blood pressure, all of which can be treated with weight loss
  • Have tried to lose weight by eating healthy and exercising for at least 6 months without success
  • Be fit enough for general anesthesia and surgery
  • Be ready and dedicated to modifying his/her diet and lifestyle not only to lose weight, but to maintain the weight loss

Possible Risk Factors and Complications

Risks and complications are inevitable with any form of surgery. However, individuals who undergo the Robotic Sleeve Gastrectomy are usually monitored closely after the procedure to minimize these risks.

Some of the possible risks of the procedure include:

  • Pain
  • Bruising
  • Swelling around the incisions
  • Infection
  • Adverse reactions to anesthesia
  • Blood clotting
  • Lung or breathing problems
  • Leaks from the cut edge of the stomach

Robotic Sleeve Gastrectomy Procedure

Robotic Sleeve Gastrectomy is performed by a bariatric surgeon using keyhole surgery under general anesthesia and takes about an hours. During the procedure, while using the da Vinci system, the surgeon sits at a console near the patient in the operating room. Through the console, the surgeon makes several small incisions the size of a fingertip in the patient’s stomach to insert the laparoscope and other small surgical tools to divide the stomach.

With the system’s 3D high-definition view, the surgeon can see the target area ten times more clearly than the human eye can. Every movement the surgeon makes is translated into real-time action by the device, which bends and rotates equipment with a similar range of motion to a human hand. With the aid of integrated tremor filtration technology, the surgeon can move each tool with accuracy and success.

A smaller tube-shaped stomach is created by surgically removing the right portion of the stomach, which contains the Ghrelin hormones, and sectioning off the left half of the stomach with staples.

The new stomach is tubular in shape and has been shrunk while keeping the sphincter muscles in the upper and lower stomach.

Upon completion of the procedure, the surgeon uses dissolving sutures and sterile tape to seal the incision site to promote healing.

Post-Op Guidelines After Robotic Sleeve Gastrectomy

  • The patient will be prescribed pain medication
  • The patient is allowed to only drink clear liquids on the first day after surgery. He/she remains on a liquid diet, gradually graduating to soft and moist foods, and after four weeks to six weeks, can start taking solid foods
  • After the procedure, the patient should refrain from doing any rigorous activities
  • Following gastric sleeve surgery, majority of patients can resume their regular activities in two to four weeks, but this varies from one patient to the next

Benefits of Robotic Sleeve Gastrectomy

  • The procedure can be performed on certain patients with high-risk medical conditions
  • It is a straight-forward procedure with shorter surgical time
  • It can be performed as a first step for patients with severe obesity
  • It can be used as a transitional measure before SADI-S operation
  • The procedure effectively reduces body weight and improves obesity-related disorders.
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