Description

Morbid obesity is a chronic metabolic disease that significantly increases the risk of type 2 diabetes, hypertension, obstructive sleep apnea, fatty liver disease, cardiovascular disorders, infertility, joint problems, and reduced life expectancy. For patients who have not achieved sustainable weight loss through diet, exercise, and medical therapy, robotic sleeve gastrectomy has emerged as one of the safest and most effective bariatric procedures available today. In this comprehensive educational surgical video, Prof. Dr. R. K. Mishra demonstrates a step-by-step Robotic Sleeve Gastrectomy performed at World Laparoscopy Hospital using advanced robotic technology. The procedure illustrates standardized operative techniques, emphasizing precision, safety, and reproducibility for surgeons seeking to master robotic bariatric surgery. The video begins with patient positioning, operating room setup, robotic docking, trocar placement, and instrumentation. Viewers will observe the meticulous dissection of the greater curvature, complete mobilization of the gastric fundus, preservation of critical anatomical structures, division of the short gastric vessels, and careful creation of the gastric sleeve using sequential stapling over a bougie. The operation also demonstrates staple-line assessment, hemostasis, leak prevention strategies, specimen extraction, and proper closure techniques. Throughout the procedure, Dr. Mishra explains important technical pearls, anatomical landmarks, ergonomic advantages of robotic surgery, and methods to minimize complications such as bleeding, staple-line leaks, gastric stenosis, and injury to adjacent organs. The enhanced three-dimensional visualization, tremor filtration, articulating robotic instruments, and superior dexterity provide greater precision during complex bariatric procedures. This educational video is designed for general surgeons, bariatric surgeons, gastrointestinal surgeons, surgical residents, fellows, and healthcare professionals interested in advanced robotic surgery. It offers valuable insights into patient selection, operative planning, robotic workflow, and evidence-based surgical principles that contribute to successful outcomes. World Laparoscopy Hospital is internationally recognized for excellence in laparoscopic and robotic surgical education, having trained thousands of surgeons and gynecologists from more than 100 countries. Through structured fellowship programs, live surgical demonstrations, simulation-based training, and expert mentorship, the institute continues to advance minimally invasive surgical education worldwide. Whether you are beginning your robotic surgery journey or refining advanced bariatric techniques, this detailed operative demonstration provides practical knowledge that can improve surgical efficiency, patient safety, and long-term outcomes in the treatment of morbid obesity.