What is Robotic Obesity Surgery, and Who is it Suitable For?

Robotic bariatric surgery is a modern surgical method used in obesity treatment, performed with advanced robotic surgical systems that provide high precision and control. In this method, the surgeon operates robotic arms via a console, planning and executing procedures with millimetric accuracy. In surgeries such as sleeve gastrectomy and gastric bypass, it enhances the surgeon’s field of view and suture quality, while shortening the postoperative recovery period.

Fill out the form to get information and schedule an appointment.

What is Robotic Bariatric Surgery?

Robotic bariatric surgery is a type of obesity surgery performed with the assistance of a robotic surgical system, controlled by the surgeon from a console.

The term “robotic” does not mean that the robot performs the surgery on its own. Instead, it refers to the surgeon performing movements more precisely and in a controlled manner via robotic arms. In other words, the surgeon carries out the operation through the robotic arms. Therefore, robotic bariatric surgery is an advanced version of traditional laparoscopic (minimally invasive) surgery.

Robotic bariatric surgery typically consists of three main stages:

• Surgeon Console Operation: The surgeon sits at the console during the operation, controlling hand and arm movements through specialized controls while viewing the surgical field in high-resolution 3D.
• Robotic Arm Execution: Robotic arms positioned over the patient replicate the surgeon’s console movements exactly. At the tips of these arms are specialized instruments required for the procedure.
• Camera and Visualization: The camera and imaging system magnify and transmit the surgical area. On the operating table, the assisting surgical team supports instrument changes and overall operation flow.

Advanced robotic surgical technologies, such as the da Vinci Robotic Surgical System, are generally part of minimally invasive surgery. This means the procedure is not an open surgery performed by a robot, but rather performed through small incisions using cameras and instruments.

 

 

In Which Procedures is Robotic Bariatric Surgery Used?

Robotic surgery is not a separate type of surgery on its own; rather, it is a technique applied to existing bariatric procedures. The robotic system allows certain obesity surgeries to be performed with greater precision and control. Robotic surgery can be used in the following procedures:

Robotic Sleeve Gastrectomy

In sleeve gastrectomy, a large portion of the stomach is removed to create a smaller, tube-shaped stomach. Robotic surgery in this procedure provides:

Enhanced visualization of the stomach,

More controlled creation of the cutting and stapling (stapler) lines,

Greater precision during suturing and other delicate steps.

Robotic Gastric Bypass

Gastric bypass is a more complex procedure in which both the stomach volume is reduced and the small intestine is rearranged. Robotic bariatric surgery in this procedure allows:

More precise creation of intestinal connections (anastomoses)

Easier maneuvering in deep and narrow surgical areas

Robotic SASI Bipartition

SASI bipartition is a bariatric technique where the stomach is reduced and the small intestine is routed in two separate paths, allowing food to contact the intestine via two different routes. This preserves part of the normal digestive tract while enabling earlier delivery of food to distal segments.

Robotic surgery in SASI bipartition provides:

Precise creation of stomach-intestine connections

Controlled arrangement of the two digestive pathways

Enhanced precision in suturing and anastomosis

Robotic Transit Bipartition

Transit bipartition preserves the stomach while rearranging the small intestine and is mainly aimed at managing type 2 diabetes and metabolic disorders. In this method, part of the food follows the normal digestive route, while another part is directed directly to a section of the intestine.

Robotic surgery in transit bipartition allows:

Accurate placement of intestinal connections

Clearer visualization in deep and narrow areas

High precision in multiple sutures and connections

Robotic Revision Surgery

Revision surgery is performed on patients who have previously undergone bariatric surgery and require reoperation for various reasons. Robotic bariatric surgery provides the surgeon with enhanced control and precision in these complex cases.

Who Is Robotic Bariatric Surgery Suitable For?

Robotic bariatric surgery can be applied to patients planned for obesity surgery who can benefit from the technical advantages provided by robotic surgical technology. The key point is whether the patient qualifies for bariatric surgery. The general criteria for eligibility are as follows:

Patients with a Body Mass Index (BMI) of 40 or higher

Individuals with a BMI over 40 are generally classified as having morbid obesity. In this group, additional health problems such as diabetes, joint issues, breathing difficulties, and cardiovascular risks are more common due to excessive weight.

For patients at this level of obesity, achieving sustainable and healthy weight loss through diet and exercise alone is often not possible. Therefore, surgical treatment options are considered, and planned bariatric procedures can be performed using robotic surgical technology.

Patients with a BMI between 35 and 40 who have comorbidities

Patients with a BMI between 35 and 40 are not assessed solely based on weight. In this range, individuals who suffer from serious obesity-related health conditions such as type 2 diabetes, sleep apnea, high blood pressure, or cardiovascular disease may also be considered for surgical treatment. For these patients, planned bariatric procedures can be performed robotically, if deemed appropriate.

Patients who have previously undergone bariatric surgery but did not achieve sufficient results

Patients who have previously had bariatric surgery but did not achieve the expected weight loss or regained weight over time are evaluated for revision bariatric surgery. This group may also include patients who experienced technical problems or complications during previous surgeries.

Revision surgeries are considered technically more complex due to anatomical changes and adhesions. Robotic bariatric surgery provides the surgeon with greater precision and control, helping to plan and perform these complex operations more safely and effectively.

 

Advantages of Robotic Bariatric Surgery

Robotic bariatric surgeries are performed minimally invasively with the surgeon controlling the procedure from a console with high precision. This approach provides significant benefits both for the operation itself and for the patient’s recovery. The advantages of robotic bariatric surgery include:

• Provides high precision and control during surgery.
• Offers 3D and magnified visualization for clearer view of the surgical area.
• Allows better maneuverability in difficult-to-reach regions.
• Ergonomic for the surgeon, reducing fatigue during long procedures.
• Approaches tissue more gently, minimizing trauma.
• Lower risk of tissue damage and complications.
• Less postoperative pain and potential for faster return to daily activities.
• Reduced likelihood of wound site problems and more aesthetic incision results.
• Provides advantages during suturing and reconstruction steps.
• Because of millimetric incisions, the risks of infection and pain are significantly lower.

 

Risks of Robotic Bariatric Surgery

Although robotic bariatric surgery offers advanced technology and a minimally invasive approach, it still carries certain risks, as with any surgical procedure. These risks may vary depending on the patient, the surgical technique, and the surgeon’s experience. Some potential risks include:

Allergic reactions or respiratory issues related to anesthesia.

Bleeding during or after the operation.

Infection at incision sites or inside the abdomen.

Leaks at suture or staple lines.

Blood clots (deep vein thrombosis) in the legs, which can travel to the lungs (pulmonary embolism).

In some cases, setup of the robotic system and surgical planning may extend the operation time.

May not be the ideal option for every obesity patient.

Frequently Asked Questions About Robotic Bariatric Surgery

Is Robotic Bariatric Surgery Safe?

Yes. When performed by experienced surgical teams and with appropriate patient selection, robotic bariatric surgery is considered a safe and reliable method.

Is Robotic Bariatric Surgery Suitable for Everyone?

No. Not every patient is suitable for robotic surgery. Patient health status, body structure, additional medical conditions, and prior surgeries are evaluated by a specialist to determine suitability.

What Is the Cost of Robotic Bariatric Surgery?

The cost varies depending on the surgical procedure, patient needs, and necessary evaluations. For patient-specific pricing, you can fill out the information form on the relevant page to contact the clinic.

What Are the Advantages Compared to Laparoscopic Surgery?

Robotic surgery offers 3D visualization, greater instrument mobility, and higher surgical precision. These advantages provide the surgeon with more control, particularly in technically challenging cases.

How Long Does Robotic Bariatric Surgery Take?

The duration depends on the type of procedure and the patient’s condition, but it generally takes 1.5 to 3 hours.

Is There Pain After Robotic Bariatric Surgery?

Postoperative pain is usually mild to moderate. Since the procedure is minimally invasive with small incisions, pain is less than traditional open surgery, and most patients return to daily activities quickly.

Should Patients Exercise After Bariatric Surgery?

Yes, regular exercise is strongly recommended. Low-impact activities such as walking and swimming are advised soon after surgery. One month post-operation, patients can gradually resume more intense sports and activities.