Robotic Sleeve Gastrectomy for Treatment of Morbid Obesity
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Procedure Outline
Table of Contents
- 1. Introduction
- 2. Access to the Abdomen and Placement of Ports
- 3. Robot Docking
- 4. Liver Retraction and Hiatal Exposure
- 5. Gastroesophageal (GE) Junction and Associated Fat Pad Identification and Evaluating for Potential Hiatal Hernia
- 6. Entry into Lesser Sac at the Body of the Stomach
- 7. Greater Curvature Dissection and Dividing the Gastrocolic Ligament and Short Gastrics
- 8. Medial Dissection to Roll the Fundus of the Stomach off of the Left Crus
- 9. Positioning the Stomach Using a Bougie Under Vision
- 10. Stomach Division Using the Robotic Stapler
- 11. Omentopexy to the Staple Line
- 12. Letting Down the Liver and Tagging the Specimen
- 13. Upper Endoscopy to Check for Bleeding
- 14. Robot Undocking
- 15. TAP Blocks
- 16. Specimen Extraction
- 17. Closure
- 18. Post-op Remarks
- Check Blood Supply with IV ICG
