Symmetrical three-hole sleeve gastrectomy without assisted hole：1 case report

doi:10.3877/cma.j.issn.2095-9605.2025.01.012

Abstract

Abstract:

In recent years，the da Vinci robotic-assisted bariatric and metabolic surgery，as an emerging technology，has begun to gain popularity in China，providing a new option for bariatric and metabolic surgeries.This article reports a case of a female patient with obesity，whose BMI was 38.5 kg/m².She underwent a da Vinci robotic-assisted symmetrical three-port sleeve gastrectomy （without an auxiliary port） on January 24，2024，at the Bariatric and Metabolic Surgery Center of the First People's Hospital of Yunnan Province.The article elaborates on the main steps of this surgical procedure and explores its advantages and disadvantages.

Key words: Sleeve gastrectomy, Da Vinci robot, Symmetrical three holes, No auxiliary holes

Shiwen Li, Junyu Wang, Guishun Sun, Kunlin Li, Xuan He, Bian Wu. Symmetrical three-hole sleeve gastrectomy without assisted hole：1 case report[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2025, 11(01): 80-83.

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References 20

［1］	陈晶晶，王栓铎.腹腔镜袖状胃切除术在肥胖症治疗中的应用效果［J］.黑龙江医学，2023，47（24）：2978-2980+2984.
［2］	王存川，王宇澄.减重手术的现状与展望［J］.中国普外基础与临床杂志，2019，26（6）：641-644.
［3］	Ross SB，Downs D，Saeed S M，et al.Robotics in surgery：is a robot necessary？ For what？［J］.Minerva Chirurgica，2017，72（1）：61-70.
［4］	Dimou FM，Ackermann N，Chang SH，et al.Understanding the current role of robotic-assisted bariatric surgery ［J］.Obesity Surgery，2021，31（7）：3130-3137.
［5］	Dudash M，Kuhn J，Dove J，et al.The Longitudinal efficiency of robotic surgery：an MBSAQIP propensity matched 4-year comparison of robotic and laparoscopic bariatric surgery ［J］.Obesity Surgery，2020，30（10）：3706-3713.
［6］	赵宁，夏泽锋，王国斌，等.达芬奇机器人手术系统在袖状胃切除术中的应用［J］.华中科技大学学报（医学版），2018，47（5）：608-611+632.
［7］	Koeller E，Luhrs AR，Giorgi M.Changes in utilization of robotic bariatric surgery and effect on patient outcomes from 2015-2020 ［J］.Journal of Robotic Surgery，2023，17（5）：2041-2045.
［8］	汪天时，周彪，董星，等.中国对称三孔法腹腔镜胃袖状切除术规范化手术操作指南（2023版）［J］.华西医学，2023，38（12）：1785-1791.
［9］	胡三元.机器人辅助袖状胃切除术操作指南（2020年版）［J］.腹腔镜外科杂志，2021，26（1）：1-6.
［10］	詹崇文，沈奇伟，邵怡凯，等.三孔法腹腔镜胃袖状切除术治疗肥胖症的疗效分析［J］.外科理论与实践，2023，28（5）：463-468.
［11］	王翰博，孙鹏，赵勇.达芬奇机器人手术系统的构成及特点［J］.山东医药，2009，49（39）：110-111.
［12］	Giudicelli G.Global benchmarks in primary robotic bariatric surgery redefine quality standards for Roux-en-Y gastric bypass and sleeve gastrectomy ［J］.Br J Surg，2024，111（1）：374.
［13］	白洁，陶凯雄.达芬奇机器人在代谢手术领域的应用［J］.外科理论与实践，2018，23（6）：491-494.
［14］	Wilson EB，Sudan R.The evolution of robotic bariatric surgery ［J］.World Journal of Surgery，2013，37（12）：2756-2760.
［15］	Pascotto B，Azagra J S，González González L，et al.Real Robotic 3-Arm Sleeve Gastrectomy ［J］.Obesity Surgery，2024，34（1）：295-296.
［16］	Magouliotis DE，Tasiopoulou VS，Sioka E，et al.Robotic versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity：a Systematic Review and Meta-analysis ［J］.Obesity Surgery，2017，27（1）：245-253.
［17］	Bellorin O，Vigiola-Cruz M，Dimou F，et al.Robotic-assisted surgery enhances the learning curve while maintaining quality outcomes in sleeve gastrectomy：a preliminary，multicenter study ［J］.Surgical Endoscopy，2021，35（5）：1970-1975.
［18］	Adair MJ，Alharthi S，Ortiz J，et al.Robotic surgery is more expensive with similar outcomes in sleeve gastrectomy：analysis of the NIS Database ［J］.The American Surgeon，2019，85（1）：39-45.
［19］	Vyborniy MI，Kolygin AV，Petrov DI，et al.Robotic sleeve gastrectomy：single-center experience［J］.Khirurgiia，2023（10）：20-28.
［20］	Tatarian T，Yang J，Wang J，et al.Trends in the utilization and perioperative outcomes of primary robotic bariatric surgery from 2015 to 2018：a study of 46，764 patients from the MBSAQIP data registry［J］.Surgical Endoscopy，2021，35（7）：3915-3922.

时间	糖化血红蛋白（%）	C肽（nmol/L）	总胆固醇（mmol/L）	甘油三酯（mmol/L）	尿酸（μmol/L）
术前	6.32	0.96	4.77	2.36	487
术后6周	5.34	0.77	3.57	0.91	410
术后9月	5.44	0.55	3.27	0.43	226

时间	糖化血红蛋白（%）	C肽（nmol/L）	总胆固醇（mmol/L）	甘油三酯（mmol/L）	尿酸（μmol/L）
术前	6.32	0.96	4.77	2.36	487
术后6周	5.34	0.77	3.57	0.91	410
术后9月	5.44	0.55	3.27	0.43	226

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[2]	Lingkai Meng, Dayong Li, Ning Wang, Guiming Wang, Bingnan Zhang, Ruotong Li, Lifeng Pan. Effect and mechanism of sleeve gastrectomy on obese rats with type 2 diabetes mellitus [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 638-642.
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[7]	Jian Liu, Xiaobo Yang, Junjian He, Miao Wu. Application of electric hook in three-port laparoscopic sleeve gastrectomy [J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2024, 17(06): 363-364.
[8]	Yang Bai, Guobin Li, Junhong Hu. Report of a case of radical resection of low rectal cancer with the assistance of Da Vinci robot without an auxiliary incision in the abdomen [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2024, 13(03): 260-264.
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[10]	Yiliang Li. Application progress of robot assisted repair of hiatal hernia combined with gastric folding surgery [J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(04): 217-220.
[11]	Xiaoxue Yang, Shaoling Li. Application research of failure mode and effect analysis in nursing cooperation for esophageal hiatal hernia repair surgery assisted by da Vinci robot [J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(04): 221-226.
[12]	Hongwei Zhang, Gang Peng, Xuyan Ban, Chen Wang, Ting Xu, Weijie Liu, Xiaodong Han. Single-port laparoscopic sleeve gastrectomy combined with transoral endoscopic thyroidectomy vestibular approach for the treatment of obesity with unilateral thyroid cancer：1 case report [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2025, 11(01): 76-79.
[13]	Haitao Sun, Shaolong Hao, Wuqing Sun, Wei Han, Rixing Bai. Application of intermediate approach single incision laparoscopic sleeve gastrectomy： A report of 3 cases （with video） [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2024, 10(04): 300-304.
[14]	Zhao Li, Zhaopeng Li, Yi Song, Dong Guo, Dong Chen, Yu Li. Measurement and evaluation of residual gastric volume and morphology after laparoscopic sleeve gastrectomy [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2024, 10(04): 242-247.
[15]	Chaojun Wang, Zhiyong Dong, Wan'e Zhao, Songhao Hu, Zhaohui Liu. Influence of sarcopenia on the effect of sleeve gastrectomy in patients with obesity [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2024, 10(04): 283-287.

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