Robotic-assisted modified retroauricular cervical approach: initial experience in Latin America

• Main Authors: THIAGO CELESTINO CHULAM, RENAN BEZERRA LIRA, LUIZ PAULO KOWALSKI
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Cirurgiões
• Series: Revista do Colégio Brasileiro de Cirurgiões
• Subjects: Robotic Surgical Procedures; Minimally Invasive Surgical Procedures; Neck Dissection.
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000400289&lng=en&tlng=en

ABSTRACT Objective: to evaluate the thickness of the gastric wall at the time of intra gastric balloon (IGB) placement, at the time of its withdrawal and one month after withdrawal. Methods: fifteen morbidly obese patients underwent the introduction of IGB under general anesthesia. In all patients, there was infusion of 500ml of distilled water in the balloon for the test. Measurements of the thickness of the gastric wall were made in the antrum, body and proximal body, using a radial echoendoscope with a frequency of 12MHz and maximum zoom, and its own balloon inflated with 5ml of distilled water. Results: the presence of IGB led to increased wall thickness of the gastric body by expanding the muscle layer. These changes were apparently transient, since 30 days after the balloon withdrawal there was a tendency to return of the wall thickness values observed before the balloon insertion. Conclusion: the use of intragastric balloon for the treatment of obesity determines transient increase in the wall thickness of the gastric body caused by expanded muscle layer.