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Robot-assisted mini gastric bypass in a patient with a huge liver

M Vix, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jul 2013;13(07). URL: http://websurg.com/doi/vd01en3951

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  • 2090
  • 10
  • 2013-07-04
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This video demonstrates our mini gastric bypass technique using the da Vinci™ robotic surgical system. This intervention may be suggested in all morbidly obese patients without any major gastroesophageal reflux. One of the interests of this film lies in that the patient has a huge liver requiring delicate dissection and division of the superior gastric pouch. The biliary loop typically measures 200cm, and we systematically close Petersen’s defect in order to prevent internal hernias. The use of the surgical robot allows to perform an easier hand-assisted gastrojejunostomy. None of the preparatory maneuvers rely on the surgical robot as it is currently not equipped with mechanical staplers.