Robotic Ligamentum Teres Cardiopexy with Hiatal Hernia Repair for GERD following Longitudinal Sleeve Gastrectomy

1. Introduction

2. Robot Setup

3. Adhesiolysis and Ligamentum Teres Mobilization

4. Stomach and Esophagus Mobilization and Reduction of Hernia

5. Ligamentum Teres Harvesting

6. Further Mobilization of the Esophagus

7. Gastroscopy to Determine Location of Gastroesophageal (GE) Junction

8. Getting Appropriate Length on Esophagus

9. Reapproximation of Posterior Hiatus

10. Ligamentum Teres Cardiopexy 270-Degree Wrap

11. Closure

12. Post-op Remarks