Metabolic & Bariatric Surgery: From Open Surgery to the Robotic System
Obesity is a growing epidemic in the United Arab Emirates. In the UAE; obesity levels are as high as 37 per cent of the population, which is double the world average. There are also a growing number of people with Type 2 diabetes, with a huge 20% of the population already suffering from the disease. Although bariatric and metabolic surgery is a relatively young surgical discipline, it is currently the best long‐term treatment option for obese patients.
Laparoscopy has become the gold standard approach for virtually all bariatric surgery procedures since it was first used for gastric bypass in 1993. However, conventional laparoscopy comes with certain general technical limitations, such as 2-dimentional visualization, limited range of motion of the instruments, and surgeon fatigue caused by abdominal wall torque. These limitations are amplified by the complexities that accompany obese patients. In terms of surgical challenges, these include space constraints, often caused by increased liver size and intra‐abdominal fat, and a thick abdominal wall. Advantages of using the robotic system can include not only faster recovery, reduced pain, and a shorter hospital stay, but also, for the surgeon, greater dexterity and precision in tissue manipulation in anatomical regions that are difficult to access, resulting in fewer conversions, and probably fewer short term complications in several surgical fields, including bariatric surgery, are probable.
The robot is a tele-manipulator instrument that allows the surgeon, from a remote console, to control up to 3 robotic arms and a binocular camera, rendering fine 3-dimensional imaging. It is especially useful in those more challenging bariatric cases like reoperations. We present a short video of the First Robotic Duodenal Switch in the UAE. Also we will show the latest advances in Magnetic Robotic Surgery, the new platform for a scar less surgery.