title: Robotic-Assisted Laparoscopic Biliopancreatic Diversion, Vertical Sleeve Gastrectomy with Traditional Roux-en-Y Duodenal Switch.
abstract: Although effective, duodenal switch can be a complicated and time-consuming operation for surgeons.
  
  
  
  The purpose of this article is to present our technique of biliopancreatic diversion and vertical sleeve gastrectomy, creating a 150-cm common channel and a 100-cm alimentary limb.
  
  
  
  A robot-assisted technique was utilized in creating a biliopancreatic diversion and vertical sleeve gastrectomy.
  
  
  
  Laparoscopy was used for marking stitches and then the robot was docked. After creating a window behind the duodenum, sleeve gastrectomy is performed followed by duodeno-ileal anastomosis and ileo-ileal anastomosis.
  
  
  
  With the adoption of robots and the described technique, it can be easier to be achieved in less time.
authors.affiliation: Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA. muhammad.jawad@orlandohealth.com.
authors.forename: Muhammad A
authors.initials: MA
authors.lastname: Jawad
authors.affiliation: Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA.
authors.forename: Lars
authors.initials: L
authors.lastname: Nelson
authors.affiliation: Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA.
authors.forename: Rena C
authors.initials: RC
authors.lastname: Moon
authors.affiliation: Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA.
authors.forename: Andre F
authors.initials: AF
authors.lastname: Teixeira
mesh_terms: D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000295:instrumentation / Q000379:methods*; D000714:Anastomosis, Surgical; D015904:Biliopancreatic Diversion / Q000295:instrumentation / Q000379:methods*; D004386:Duodenum / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D009767:Obesity, Morbid / Q000601:surgery*; D061646:Operative Time; D056888:Patient Positioning; D065287:Robotic Surgical Procedures / Q000379:methods*; D013525:Surgical Instruments / Q000706:statistics & numerical data; D057188:Workflow
keywords: Biliopancreatic diversion; Duodenal switch; Laparoscopic; Robotic; Roux-en-Y