Robotic omentopexy following sleeve gastrectomy: technique and early outcomes in 65 consecutive patients

TL;DR

This study shows robotic omentopexy is a safe and quick addition to sleeve gastrectomy, with no early complications in 65 patients.

Contribution

The novel use of a robotic platform to standardize and perform omentopexy during sleeve gastrectomy is introduced.

Findings

Robotic omentopexy added only 15.5 minutes to the surgery and had no complications in 65 patients.

There were no intraoperative, perioperative, or 30-day complications, readmissions, or reoperations reported.

Omentopexy provides extraluminal support without staple-line manipulation, showing early safety and reproducibility.

Abstract

Staple-line complications after sleeve gastrectomy remain a technical concern. Omentopexy offers an extraluminal support of the gastric sleeve without direct staple-line manipulation. This report shares our experience in using a robotic platform to facilitate and standardized the technique. A retrospective analysis was conducted of patients undergoing robotic sleeve gastrectomy with concomitant omentopexy. Sixty-five patients (64.6% female); median age 47 years, with mean body mass index of 44.7 ± 4.4 kg/m2, underwent robotic sleeve gastrectomy with omentopexy. The omentopexy added a mean of 15.5 min to operative time. Median length of stay was 1.3 days, reflecting institutional policy. There were no intraoperative, perioperative, or 30-day complications, readmissions, or reoperations. Robotic omentopexy is a safe, reproducible adjunct to sleeve gastrectomy that adds minimal operative time and provides physiologic extraluminal support. Further studies are needed to assess long-term outcomes.

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