Totally Robotic Roux-en-Y Gastric Bypass: Technique
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Abstract :
The da VinciTM robotic system (Intuitive Surgical, Inc, Sunnyvale, CA) has been used frequently for urological procedures including radical prostatectomy and pyeloplasty. Its use in bariatric surgery is limited to few high volume centres in the western world. The advantages of robotic assistance are three-dimensional vision, ergonomic advantage and improved precision. We report our experience of using this advanced technology to perform a robotic Roux-en-Y gastric bypass in a 55-year-old obese diabetic patient. We were able to reproduce our standard laparoscopic technique and all the steps of the surgical procedure were done using robotic assistance.

Case :
The patient was a 55-years-old female with a body mass index of 37.7 kg/m2. She was suffering from type 2 diabetes mellitus for the past 10 years and was on oral hypoglycaemic medicines. Her other co-morbidities included hypertension, dyslipidemia and osteoarthritis. The patient was evaluated as per the standard protocol and her co-morbidities were optimised prior to surgery. She was started on very low calorie diet for a period of 10 days. She was counselled about the advantages and possible drawbacks of robotic surgery. Being a public funded hospital, the procedure was free of charge for the patient.......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4484530/
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