Robotic Sleeve Gastrectomy

  • Ramon Vilallonga Puy
  • Roberto Alatorre
  • José Manuel Fort


With the increasing worldwide prevalence of obesity, bariatric surgery is in continuous development; actually, surgery represents the most effective long-term method for treating obesity and its comorbidities. However, surgery in patients with obesity may be technically demanding for the surgeon, due to the limitations of laparoscopic instruments and the characteristics of obese patients, including hepatomegaly and the amount of intraabdominal fat. This is why, over the years, methods of minimal invasion have been designed that replace conventional surgery and have the well-known benefits of minimal invasion, such as less postoperative pain, decreased in-hospital stay, and decreased morbidity of the patient (Nguyen et al., The ASMBS textbook of bariatric surgery. New York: Springer, 2015).

Sleeve gastrectomy was initially used as an initial step in high-risk patients, those who have BMI greater than 60; at follow-up these patients had a significant weight loss and resolution of comorbidities, but it was not until 2008 that the indications of the sleeve gastrectomy were published as a single procedure (Nguyen et al., The ASMBS textbook of bariatric surgery. New York: Springer, 2015).


Robotic surgery Sleeve gastrectomy 


  1. 1.
    Nguyen N, Blackstone R, Ponce J, Rosenthal R. The ASMBS textbook of bariatric surgery. New York: Springer; 2015.CrossRefGoogle Scholar
  2. 2.
    Frezza EE, Reddy S, Gee LL, Wachtel MS. Complications after sleeve gastrectomy for morbid obesity. Obes Surg. 2009;19:684–7.CrossRefGoogle Scholar
  3. 3.
    Cadiere GB, Himpens J, Vertruyen M, Favretti F. The world’s first obesity surgery performed by a surgeon at a distance. Obes Surg. 1999;9(2):206–9.CrossRefGoogle Scholar
  4. 4.
    Romero R, Kosanovic R, Rabaza J, Seetharmaiah R. Robotic sleeve gastrectomy: experience of 134 cases and comparison with systematic review of the laparoscopic approach. Obes Surg. 2013;23:1743–52.CrossRefGoogle Scholar
  5. 5.
    Schraibman V, Macedo A, Epstein M, Soares M, Maccapani G, Matos D. Comparison of the morbidity, weight loss, and relative costs between robotic and laparoscopic sleeve gastrectomy for the treatment of obesity in Brazil. Obes Sur. 2014;24:1420–4.CrossRefGoogle Scholar
  6. 6.
    Elli E, Gonzalez-Heredia R, Sarvepalli S, Masrur M. Laparoscopic and robotic sleeve gastrectomy: short and long term results. Obes Surg. 2015;25:967–74.CrossRefGoogle Scholar
  7. 7.
    Kannan U, Ecker B, Choudhury R, Dempsey D, Williams N. Laparoscopic hand-assisted versus robotic-assisted laparoscopic sleeve gastrectomy: experience of 103 consecutive cases. Surg Obes Relat Dis. 2016;12:94–9.CrossRefGoogle Scholar
  8. 8.
    Vilallonga R, Fort J, Caubet E, Gonzalez O, Armengol M. Robotic sleeve gastrectomy versus laparoscopic sleeve gastrectomy: a comparative study with 200 patients. Obes Surg. 2013;23:1501–7.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ramon Vilallonga Puy
    • 1
  • Roberto Alatorre
    • 1
  • José Manuel Fort
    • 1
  1. 1.Endocrine, Metabolic, and Bariatric UnitVall d’Hebron University Hospital, Universitat Autònoma de Barcelona, Center of Excellence for the EAC-BCBarcelonaSpain

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