title: Total Robotic Biliopancreatic Diversion with Duodenal Switch Technique.
abstract: The use of robotic bariatric surgery has increased significantly since its advent in 1999. Its utility and safety has been demonstrated in the literature for all bariatric procedures, including most recently the biliopancreatic diversion with duodenal switch (BPDDS). The robotic-assisted biliopancreatic diversion with duodenal switch (RBPDDS) was first described by Sudan et al. in 2007 with the use of the robot primarily for the duodeno-ileal anastomosis, then in 2015, the same authors described 59 cases of totally RBPDDS using the robot for the most of the operation, but still utilizing laparoscopic staplers. Robotic staplers were introduced recently and it became possible to utilize robot throughout the entire procedure without relying on stapling performed by an assistant. Described here is the technique of a total RBPDDS utilizing robotic staplers.
authors.affiliation: Abington Jefferson Health Surgery Department, Abington, PA, USA.
authors.forename: Gintaras
authors.initials: G
authors.lastname: Antanavicius
authors.affiliation: Abington Jefferson Health Surgery Department, Abington, PA, USA. Rmoham03@gmail.com.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Mohammed
authors.affiliation: Abington Jefferson Health Surgery Department, Abington, PA, USA.
authors.forename: Olivier
authors.initials: O
authors.lastname: Van Houtte
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D059925:Anatomic Landmarks; D050110:Bariatric Surgery / Q000379:methods*; D015904:Biliopancreatic Diversion / Q000379:methods*; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D009767:Obesity, Morbid / Q000601:surgery*; D056888:Patient Positioning / Q000379:methods; D065287:Robotic Surgical Procedures / Q000379:methods*; D017792:Surgical Stapling / Q000379:methods
keywords: Bariatric surgery; Duodenal switch; Robotic biliopancreatic diversion; Robotic surgery; Robotic technique