Totally Robotic Roux-en-Y Gastric ByPass

Clinical History:

• A 46 years-old female with a history of obesity.

• BMI: 43.7 kg/m2. 

Other History:

• Other comorbidities: mild non-alcoholic fatty liver disease.

Technique description:

• Totally robotic Roux-en-Y gastric bypass (Da Vinci Xi platform).

Procedure steps:

1. Robotic docking.

2. Performance of the gastric pouch.

3. Division of the greater omentum.

4. Measurement of the biliary limb.

5. Performance of the gastro-jejunal anastomosis.

6. Closure of Petersen defect.

7. Measurement of the alimentary limb.

8. Performance of the jejuno-jejunal anastomosis.

9. Closure of the mesenteric defect.

10. Final section to perform the Roux-en-Y. 

Trainings Objectives:

• Key-steps of Roux-en-Y gastric bypass.

• Robotic surgery, tips and tricks.