# 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.

## Key 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.