Are there preoperative parameters that are predictive of the technical difficulties of the procedure? What is the ideal case for a beginner in gastric bypass surgery?

This live interactive instructional video demonstrates a robotic assisted Roux-en-Y gastric bypass (RYGB) in a young morbidly obese male patient. The da Vinci Xi™ surgical robotic system’s key characteristics and differences from previous generations of the robot are highlighted throughout the procedure by the operator and the participants.

In this key lecture, Dr. Higa focuses on optimizing primary gastric bypass and addresses the following concern: do we have a gold standard and/or should we consider other techniques?
Dr. Higa, specialized in bariatric and metabolic surgery, explains the reasons why until now it has not been possible to reach a consensus on the gold standard surgical procedure for the treatment of obesity and emphasizes the importance of making decisions based on the individual characteristics of each patient, especially after the failure of the treatment performed.

In this original live educational 2-hour video, Dr. Kelvin Higa describes his personal technique of laparoscopic Roux-en-Y gastric bypass after removal of an adjustable gastric band, highlighting the importance of proper placement of working ports, careful dissection of the esophagogastric junction, objective measurement of the total length of the small bowel, and hand-sewing of the gastrojejunal anastomosis.

In this live educational video, Dr. Vieira d’Almeida demonstrates a stepwise robotic Roux-en-Y gastric bypass in a 51-year old female patient with a BMI of 51. After splitting of the greater omentum and stapled creation of the gastric pouch, a sutured (antecolic/antegastric) gastrojejunostomy and a jejunojejunostomy are performed. Both mesentery hernia ports are closed.

In this live educational video, Dr. Michel Vix demonstrates a stepwise laparoscopic Roux-en-Y gastric bypass procedure in a 39-year-old female patient with a BMI of 38. After stapled creation of the gastric pouch and splitting of the greater omentum, a stapled (antecolic/antegastric) gastrojejunostomy and a jejunojejunostomy are performed. Both mesentery hernia ports are closed.