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    Sleeve Gastrectomy Surgery

    The opportunity to improve surgical outcomes
    Robotically assisted bariatric and general surgery represents the very latest and one of the most significant leaps in minimally invasive surgical technology. Choices made in the OR affect a patient’s life. At Las Vegas Bariatrics, we believe technology should enhance our ability and help us make better-informed decisions. Our surgeons will be using the latest robotically assisted technology in the form of the daVinci Xi Surgical System. Da Vinci systems gives us the ability to perform routine and complex procedures with superior vision, incredible precision, flexibility, and control to perform many types of procedures, while allowing us to operate with confidence. These smart systems and instruments are central to Intelligent surgery and are developed with the goals of reducing variability in surgery and delivering better overall surgical care.
    Once the Robot is in place, the surgeon gets seated in a console in the OR with complete control over the robotic arms. The surgeon’s inputs are scaled and translated into perfectly smooth motions for the utmost in precision. Some of the many advanced features of the robotic surgical system are:

     

    EXCEPTIONAL VISUALIZATION

    Typically, in traditional minimally invasive surgery, an array of monitors not unlike our home TVs are placed above the operating table. A laparoscope (camera) is inserted into the abdomen and projects the image to these monitors. Because of the positioning and 2-dimensional nature of the image, the surgeon’s depth perception is compromised. Training and experience have, of course, overcome this limitation. However, the robotic surgical system all but eliminates this learning curve. The cameras used in the robotic system offer a 3 dimensional and high-definition field of vision, unmatched in laparoscopy.

    WRISTED ARMS

    Robotically assisted surgery takes traditional minimally invasive instruments to a whole new level. The robotic arms are wristed, allowing for a greater range of motion that not only eliminates some of the limitations of traditional laparoscopic devices, but offers even greater dexterity than the human wrist. The result is greater flexibility than laparoscopic surgeons have ever had before. The movements that are able to be perform within the abdominal cavity are superior to those of traditional laparoscopic devices. The result is that some complex procedures, that once required open surgery, and even laparoscopically can be performed easier and more precisely for those who qualify.

    CREATED WITH SURGEON COMFORT IN MIND

    In addition to offering our surgeons and staff a great deal of flexibility, the Da Vinci system also reduces fatigue. Traditional laparoscopy requires the surgeon to stand by the operating table through the entire procedure (sometimes hours on end) and look up at a series of monitors above the patient. Neck, Shoulder, arms and legs discomfort is reduced. The DaVinci System gives the surgeon a comfortable setting, seated in an ergonomic console near the OR. The surgeon is looking directly into the console in a very natural position.

    BENEFITS OF ROBOTIC SURGERY

    ⦁ The minimally invasive nature of robotically assisted surgery means fewer complications including less blood loss, less pain and a quicker recovery versus open surgery
    ⦁ More agile instruments allow for complex surgeries to be performed in a minimally invasive manner when they otherwise might be performed in an open manner
    ⦁ Proven technology with over 3 million robotically assisted cases performed worldwide
    ⦁ Precise suturing offers a safe alternative to stapling for optimal anastomosis
    ⦁ Provides meticulous dissection and suturing for complex revisions
    ⦁ Dramatically improves surgeon ergonomics to minimize fatigue
    ⦁ Shorter OR times, especially in high BMI patients
    ⦁ Better precision, dexterity & control
    ⦁ Better visualization for the surgeon
    ⦁ Fewer complications
    Compared to open surgery for weight loss, da Vinci provides the potential for:
    ⦁ Less pain
    ⦁ Less risk of infection
    ⦁ Less blood loss
    ⦁ Quicker return to normal activities

    RISKS AND CONSIDERATIONS

    ⦁ Robotic surgery still carries the risks of the same procedure being performed in a traditional laparoscopic manner. This is still major surgery with risks that include infection, pain, blood loss and in rare cases, death.
    ⦁ The procedure may have to be converted to a traditional laparoscopic approach or open procedure if the robot fails or malfunctions
    ⦁ The surgical robot does not make surgery “easier” in and of itself. There is no substitute for surgeon skill and experience
    Not all patients will qualify for robotic weight loss and general surgery. Patients can learn more about their options by attending a consultation with one of our surgeons.