title: Robotic Roux-en-Y gastric bypass: operative results in 100 patients.
abstract: BACKGROUND
  Laparoscopic gastric bypass is gold-standard for morbid obesity treatment.
  
  
  OBJECTIVE
  To describe the results of robotic gastric bypass for morbid obesity patients.
  
  
  METHODS
  Were operated on 100 morbidly obese patients through totally robotic gastric bypass between 2013 and 2014. They were 83% female. The age ranged from 20 to 65 years old (medium 48,5 years); the body mass index varied between 38-67 (medium 42,3 kg/cm2). The procedure was designed with 3 cm long gastric pouch, 1 m biliopancreatic limb, 1,2 m alimentary limb, manual or stapled anastomosis. There were four super-super-obese patients and four revisional surgeries.
  
  
  RESULTS
  Docking time varied from 1 to 20 min (medium 4 min). Console time varied from 40-185 min (medium 105 min). There were no intra operative complications or mortality. There were two lower limb deep venous thrombosis. There was no readmission in the first 30 days.
  
  
  CONCLUSIONS
  Totally robotic gastric bypass is safe and reproduceable, with excellent results even during the initial experience with regular surgeries, revisional surgeries or in super-obese patients. Adequate training may shortens or obviates the learning curve.
authors.affiliation: Núcleo Unificado de Tratamento do Obeso, São Paulo, SP, Brazil.
authors.forename: Carlos Eduardo
authors.initials: CE
authors.lastname: Domene
authors.affiliation: Núcleo Unificado de Tratamento do Obeso, São Paulo, SP, Brazil.
authors.forename: Paula
authors.initials: P
authors.lastname: Volpe
authors.affiliation: Núcleo Unificado de Tratamento do Obeso, São Paulo, SP, Brazil.
authors.forename: Frederico A
authors.initials: FA
authors.lastname: Heitor
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D065287:Robotic Surgical Procedures; D016896:Treatment Outcome; D055815:Young Adult