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Robot-assisted Roux-en-Y gastric bypass using Sonicision™ cordless ultrasonic dissection device

M Vix, MD KH Liu, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Sep 2012;12(09). URL: http://websurg.com/doi/vd01en3741

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  • 2012-09-11
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Gastric bypass is considered to be the gold standard in morbid obesity surgery. If technical principles are well-established, there are several alternatives to apply them. Consequently, gastrojejunostomy can be performed in three different fashions: manual, linear, and circular. Manual anastomosis can be performed with the help of the robotic Da Vinci™ Surgical System. This robot is particularly suited for manual anastomosis thanks to the instruments’ articulated extremities. Operative steps that do not benefit from robotics are performed by means of conventional laparoscopy, and especially gastric pouch division. This video also demonstrates the combined use of ultrasonic wireless scissors developed by Covidien (i.e., the Sonicision™ cordless ultrasonic dissection device).