Minimally invasive bariatric surgery: Laparoscopic sleeve gastrectomy and Robotic gastric bypass

A. Parisi

Morbid obesity and related diseases may benefit from a surgical approach. According to the current American Diabetes Association and the National Heart, Lung, and Blood Institute guidelines, bariatric surgery is a treatment option to be offered to patients who have clinically severe obesity (body mass index [BMI] >40kg/m2) or a BMI of > 35 kg/m2 and serious comorbid conditions. Bariatric surgery procedures are divided into two categories: restrictive and malabsorptive. The former are based on the reduction of gastric capacity and on the emergence of an early sense of satiety with a consequent decrease in energy intake. On the other hand, the malabsorptive procedures ensure longterm weight loss due especially to malabsorption induced by intestinal bypass. In this video, we report two procedures performed at our Institute: the laparoscopic sleeve gastrectomy and the robotic gastric bypass. In particular we emphasize the extreme easiness in achieving gastro-enteric anastomosis with the aid of the Da Vinci Si robotic surgical system.