LAPAROSCOPIC AND ROBOTIC VERTICAL GASTRECTOMY (SLEEVE)

Submitted by admin on Sat, 11/26/2022 - 14:45

LAPAROSCOPIC AND ROBOTIC VERTICAL GASTRECTOMY (SLEEVE)

It has been proven that the most reliable and modern surgical method of weight loss, the Vertical Gastrectomy (or gastric sleeve) offers a loss of excess weight in up to 81% of cases 12 months after the operation, and is accompanied by an immediate improvement in all accompanying morbid obesity problems (including hypertension, hyperlipidemia, arthropathies and type II diabetes).

In selected cases of Morbid Obesity (body mass index >40, or >35 with the presence of metabolic syndrome), your doctor will recommend a Sleeve Gastrectomy, i.e. surgical removal of the left part of the stomach responsible for the production of the appetite-inducing hormone ghrelin. In patients with a BMI<35 in whom dieting fails, the physician may recommend other treatments, in collaboration with the gastroenterologists of the Bariatric Surgery Team, such as gastric balloon and gastric botox, which are promising alternatives in appetite control for overweight patients.

Sleeve gastrectomy is performed laparoscopically, i.e. through 5 small holes in the abdominal wall with a diameter of 0.5-1.5 cm. Robotic Sleeve Gastrectomy is an evolution of laparoscopic surgery and is performed through 5 small holes of 0.5-1.5 cm, using a robotic system that significantly facilitates surgical manipulations and especially intra-abdominal suturing.

During Sleeve Gastrectomy, after gaining access to the abdomen and insuflating gas (carbon dioxide) to create the necessary working space (pneumoperitoneum), surgeon S.C.Hirides will first check the entire abdomen. He will then cut the fatty part between the stomach and the spleen with great care because there are several veins in this place. In the laparoscopic approach these veins are safely controlled thanks to the use of ultrasonic scissors. In the robotic technique, this phase is safely performed with the use of a novel, bipolar diathermy called Vessel Sealer. Then, the surgeon, using a special tool that cuts and at the same time sews the stomach (endoscopic stapler - endoGIA), will remove the left part of the stomach after careful measurements. The resulting long suture line is reinforced by continuous suturing with absorbable suture and then with biological glue. The removed part of the stomach is removed from the largest wound with a small expansion of it. The wounds are sutured intradermally and the skin is brought back to its original position.

Read our related publication in the scientific journal Advances in Obesity Weight Management & Control

Dr. Savvas C. Hirides is assistant professor of Surgery at the University of Nicosia. He works as a general surgeon at the Athens Medical Center and the American Medical Center of Nicosia. He completed with a scholarship the Postgraduate Program in Robotic Surgery of the School of Medicine of the National & Kapodistrian University of Athens for the title "Master of Science" (MSc) and received the title of Doctor of Science (PhD) of the University of Athens with "excellent" honors, for his research in Metabolic Surgery.

Dr. Hirides is the first Cypriot surgeon to apply Robotic Surgery in Greece and Cyprus. From January 2007 to August 2017, Dr. S.K.Cheiridis worked at the General, Laparoscopic and Robotic Surgery Clinic of the Athens Medical Center (Director: K.M. Konstantinidis), and actively participated in the first Greek Robotics Program Surgery with a total experience that exceeds 3500 operations. At the same time, he specialized in Hernia, Upper and Lower Gastrointestinal Robotics and the Robotic Surgery of Morbid Obesity - Metabolic Diseases.

During the period of 11 years with the Bariatric Surgery Group of the Athens Medical Center, which is one of the 5 certified (IFSO-accredited) clinics in our country, the doctor gained extensive experience in the placement and removal of gastric bands, correction of RYGB complications and technical details of robotic sleeve gastrectomy. Trained in Advanced Bariatric & Metabolic Surgery in IRCAD (Strasbourg, J.Marescaux) and IFSO (Paris, Porto, Istanbul, Buenos Aires, Los Angeles) courses. In 2007 he participated in an educational course at the Obesity Surgery Clinic of professor F. Kalfarentzou in Patras (gastric bypasses, cholangiopancreatic bypass), in 2008 in the hands-on educational course of the University of Athens (Hippokrateio Hospital, Prof. Emm.Leandros) for the vertical (sleeve) gastrectomy. In 2012 he attended Michel Gagner's sleeve gastrectomy post-training seminar in Boston. In 2015 he trained in Gastric Fold at the Martin Fried reference center in Prague. In 2016, he attended the Sleeve Gastrectomy Masterclass organized in Athens. In 2017, he was trained in new gastric bypass techniques and portal catheterization surgery for pancreatic islet transplantation to correct SD (Lille, France) and later that year he successfully completed the IFSO "Mini Gastric Bypass" training course in London.

During the 2nd International Meeting of Diabetes Surgery in New York (F.Rubino), Dr.Cheiridis was inspired by the experimental model of surgical correction of diabetes, which after many years of research in the laboratories of ELPEN, led him to obtain the title of Doctor of the University of Athens in 2016 with "ARISTA" (professor G. Zografos). For his successful research project in the Surgery of Morbid Obesity and Diabetes Mellitus, the internationally renowned professors F.Pattou and T.Hubert invited Dr.Cheiridis in June 2017 to give a lecture on the subject of his thesis in Lille, France, within the framework of experts hands-on metabolic surgery course they organized there.

The doctor still actively participates with numerous speeches in Greek and international obesity surgery conferences, usually as the most ardent supporter of Robotic Bariatric Surgery. His patients say they are happy with the choice of both their intervention and the doctor and his scientific team.

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