Robotic Gastric Sleeve
MEDICAL ANIMATION TRANSCRIPT: If you suffer from severe obesity and have been unable to lose weight, your doctor may recommend robotic bariatric surgery. Your digestive system or gastrointestinal tract includes your mouth, esophagus, stomach, small intestine, and large intestine. Your pancreas, liver, and gallbladder squirt digestive juices into your small intestine to help you break down the food you eat. Your doctor may recommend bariatric surgery if you are unable to lose weight and keep it off through diet and exercise alone, have a body mass index or BMI above 40, have a BMI above 35 and you have a life threatening condition such as heart disease or diabetes, or weigh more than 100 pounds over your ideal body weight or IBW. Bariatric surgery helps you lose weight by decreasing the size of your stomach so that it holds less food and makes you feel full more quickly. Before your procedure, an intravenous line or IV will be started. You may be given antibiotics through the IV to decrease your chance of infection. You'll be given general anesthesia. A breathing tube will be inserted through your mouth and down your throat to help you breathe during the operation. Your surgeon will make a small incision near your belly button and insert a plastic tube called a port. Carbon dioxide gas will be pumped into your abdomen through this port. The gas will inflate your abdomen, giving your surgeon more room to see and move the surgical tools. After your abdomen is inflated, a high definition camera will be inserted into this port. Your surgeon will make additional port incisions for robotic instruments, as well as for instruments used by patient side assistance. An assistant will insert all of the robotic tools through these ports. Unlike standard laparoscopic instruments, these tools can rotate 360 degrees and have more flexibility than the human wrist. Seated at a special console, your surgeon will operate the robotic arms and the camera with joystick-like controls and foot pedals. A computer will translate the exact movements of your surgeon's fingers into precise movements of the surgical tools. At the same time, a high definition vision system will provide a magnified, three dimensional stereoscopic view of the surgical area. One common robotic bariatric surgical procedure is a gastric sleeve procedure. In this procedure, most of your stomach will be removed, leaving a smaller sleeve-like tube about the size of a banana. To create the gastric sleeve, your surgeon will cut and staple your stomach at the same time. The part of your stomach separated from the gastric sleeve will be removed through one of the incisions. The remaining gastric sleeve does not change where food enters and leaves your stomach. At the end of your procedure, the incisions will be closed with stitches, staples, surgical glue, or closure tape dressings. The incisions will be covered with sterile dressings. After your procedure, your breathing tube will be removed, and you will be taken to the recovery area for monitoring. You'll be given pain medication as needed. You may continue to receive antibiotics through your IV. Most patients are released from the hospital one to two days after the procedure.