Robotic Sleeve Gastrectomy for Treatment of Morbid Obesity

1. Introduction

2. Access to the Abdomen and Placement of Ports

3. Robot Docking

4. Liver Retraction and Hiatal Exposure

5. Gastroesophageal (GE) Junction and Associated Fat Pad Identification and Evaluating for Potential Hiatal Hernia

6. Entry into Lesser Sac at the Body of the Stomach

7. Greater Curvature Dissection and Dividing the Gastrocolic Ligament and Short Gastrics

8. Medial Dissection to Roll the Fundus of the Stomach off of the Left Crus

9. Positioning the Stomach Using a Bougie Under Vision

10. Stomach Division Using the Robotic Stapler

1. Check Blood Supply with IV ICG

11. Omentopexy to the Staple Line

12. Letting Down the Liver and Tagging the Specimen

13. Upper Endoscopy to Check for Bleeding

14. Robot Undocking

15. TAP Blocks

16. Specimen Extraction

17. Closure

18. Post-op Remarks