I’ve been asked by several patients considering weight-loss surgery to post some procedure videos. Today, I am putting an example of the Robotic Sleeve Gastrectomy on YouTube for all to review.
Let’s discuss first. The Sleeve Gastrectomy is the most common weight-loss procedure done today. It consists of creating a tube from the end of the esophagus to the end of the stomach. The tube is small, a little bigger than the average adult index finger. The remaining portion of the stomach is removed. The gastric sleeve will lead to about 70% excess weight loss or a BMI less than 30. It will also lead to an improvement or remission of several obesity-related co-morbidities. Hypertension will resolve in 65% of patients, sleep apnea will resolve in 60% of patients, and Type II Diabetes will go into remission in about 60% of patients. All of these conditions will improve with the surgery.
The robot used in this case is a step-up in technology from the laparoscopic technique. First, it gives the surgeon a 3-Demensional picture. This means the surgeon now has depth perception and can see the orientation of the stomach and the relative position of the spleen, diaphragm, and other organs. Second, the robot permits the surgeon to move the instrument just like fingers and hands move. This allows for more precise placement of instruments and less bleeding and pain for the patient. Finally, the addition of the vessel sealer, gastric stapler, and Firefly used for checking blood supply, improve surgical technique and outcomes.
In summary, the Sleeve Gastrectomy is a very effective weight-loss procedure. It will produce good long-term weight-loss with resolution or improvement of Hypertension, Obstructive sleep apnea, and Type II Diabetes. The robot allows the surgeon to perform a more precise operation with less pain and bleeding for the patient. Please feel free to follow the link to the video below.
Please call our office at (303)-861-4505 to schedule an appointment or visit our website at www.coloradobariatric.com. Now is a good time to contemplate weight-loss surgery before the year end!
Tom Brown, MD, Colorado Bariatric Surgery Institute