Skip to main content
Log in

Robotic one anastomosis (omega loop/mini) gastric bypass for morbid obesity

  • Brief Communication
  • Published:
Journal of Robotic Surgery Aims and scope Submit manuscript

Abstract

Robotic surgery for bariatric surgery is a promising alternative to laparoscopic surgery, but the data are limited. Use of the surgical robot may offer special advantages for bariatric surgery. This study evaluated how robotic approach could improve surgical outcomes in the treatment of morbid obesity. Robotic roux-en-Y gastric bypass has been done for some time but is technically difficult, requiring operation in both the sub diaphragmatic and infracolic compartments of the abdomen. This can mean a dual docking of the robot or a hybrid partial laparoscopic and partial robotic surgery. The one anastomosis (omega loop/mini) gastric bypass (OAGB) has the advantage of having all dissection and anastomosis in the supracolic compartment and is therefore suitable technically for robotic surgery. OAGB/MGB is gaining worldwide interest as a short simple procedure that has been shown to be very effective and safe bariatric surgery. The purpose of this study was to report on the safety and efficacy of robotic surgery for this procedure. This is the first reported series of Totally Robotic OAGB/ MGB. We report our initial technique of this robotic procedure that has been performed successfully in 50 patients. Patients are being followed up for long-term results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Menon M, Shrivastava A, Tewari A, Sarle R, Hemal A, Peabody JO et al (2002) Laparoscopic and robot assisted radical prostatectomy: establishment of a structured program and preliminary analysis of outcomes. J Urol 168:945–949

    Article  PubMed  Google Scholar 

  2. Jacobsen G, Berger R, Horgan S (2003) The role of robotic surgery in morbid obesity. J Laparoendosc Adv Surg Tech 13:279–283

    Article  Google Scholar 

  3. Tice J, Karliner L, Walsh J, Petersen AJ, Feldman MD (2008) Gastric banding or bypass? A systematic review comparing the two most popular bariatric procedures. Am J Med 121(10):885–893

    Article  PubMed  Google Scholar 

  4. Ayloo SM, Addeo P, Shah G, Sbrana F, Giulianotti PC (2010) Robot-assisted hybrid laparoscopic roux-en-Y gastric bypass: surgical technique and early outcomes. J Laparoendosc Adv Surg Tech A 20(10):847–850

  5. Mohr C, Nadzam G, Curet M (2005) Totally robotic roux-en-Y gastric bypass. Arch Surg 140:779–785

    Article  PubMed  Google Scholar 

  6. Lee WJ, Ser KH, Lee YC, Tsou JJ, Chen SC, Chen JC (2012) Laparoscopic roux-en-Y vs mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg 22:1827–1834

    Article  PubMed  Google Scholar 

  7. Musella M, Susa A, Greco F, De Luca M, Manno E, Di Stefano C, Milone M, Bonfanti R, Segato G, Antonino A, Piazza L (2014) The laparoscopic mini-gastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multicenter review. Surg Endosc 28(1):156–163

    Article  CAS  PubMed  Google Scholar 

  8. Omote K, Feussner H, Ungeheuer A (1999) Self-guided robotic camera control for laparoscopic surgery compared with human camera control. Am J Surg 177:321–324

    Article  CAS  PubMed  Google Scholar 

  9. Ruurda JP, Broeders IAMJ, Pulles B, Kappelhof FM, van der Werken C (2004) Manual robot assisted endoscopic suturing: time-action analysis in an experimental model. Surg Endosc 18:1249–1252

    Article  CAS  PubMed  Google Scholar 

  10. Talamini MA, Chapman S, Horgan S, Melvin WS, The Academic Robotics Group (2003) A prospective analysis of 211 robotic-assisted surgical procedures. Surg Endosc 17:1521–1524

    Article  CAS  PubMed  Google Scholar 

  11. Johnson WH, Fernanadez AZ, Farrell TM, Macdonald KG, Grant JP, McMahon RL, Pryor AD, Wolfe LG, DeMaria EJ (2007) Surgical revision of loop (“mini”) gastric bypass procedure: multicenter review of complications and conversions to roux-en-Y gastric bypass. Surg Obes Relat Dis 14:37–41. doi:10.1016/j.soard.2006.09.012

  12. Mailman G, Klaus A, Kirchmayr W et al (2003) DaVinci robotic-assisted laparoscopic bariatric surgery: is it justified in a routine setting? Obes Surg 13(6):848–854

    Article  Google Scholar 

  13. Ramon V, José MF, Oscar G, Enric C, Angeles B, Karl JN, Manel A (2012) The initial learning curve for robot-assisted sleeve gastrectomy: a surgeon’s experience while introducing the robotic technology in a Bariatric Surgery Department. Minim Invasive Surg 2012:347131. doi:10.1155/2012/347131

  14. Moser F, Horgan S (2004) Robotically assisted bariatric surgery. Am J Surg 188(4A Supple):38S–44S

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

There are no conflicts of interest for the author Arun Prasad on this manuscript. Nothing to disclose.

Informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Arun Prasad.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Prasad, A. Robotic one anastomosis (omega loop/mini) gastric bypass for morbid obesity. J Robotic Surg 8, 371–374 (2014). https://doi.org/10.1007/s11701-014-0480-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11701-014-0480-1

Keywords

Navigation