Walędziak M, Różańska-Walędziak A. Three-port robotic sleeve gastrectomy-another step forward: A case report. World J Clin Cases 2026; 14(14): 117795 [DOI: 10.12998/wjcc.v14.i14.117795]
Corresponding Author of This Article
Maciej Walędziak, MD, PhD, Associate Professor, Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Szaserów 128 Street, Warsaw 04-141, Poland. maciej.waledziak@gmail.com
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Toxicology
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Case Report
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May 16, 2026 (publication date) through Apr 27, 2026
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World Journal of Clinical Cases
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Walędziak M, Różańska-Walędziak A. Three-port robotic sleeve gastrectomy-another step forward: A case report. World J Clin Cases 2026; 14(14): 117795 [DOI: 10.12998/wjcc.v14.i14.117795]
World J Clin Cases. May 16, 2026; 14(14): 117795 Published online May 16, 2026. doi: 10.12998/wjcc.v14.i14.117795
Three-port robotic sleeve gastrectomy-another step forward: A case report
Maciej Walędziak, Anna Różańska-Walędziak
Maciej Walędziak, Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw 04-141, Poland
Anna Różańska-Walędziak, Departament of Human Physiology and Pathophysiology, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University in Warsaw, Warsaw 01-938, Mazowieckie, Poland
Co-first authors: Maciej Walędziak and Anna Różańska-Walędziak.
Author contributions: Walędziak M and Różańska-Walędziak A conducted the conceptualization and protocol development of the research, performed the data extraction and analysis and prepared the first draft, reviewed and edited the manuscript. All authors approved the final version of the manuscript, both authors have made crucial and indispensable contributions towards the completion of the project and thus qualified as the co-first authors of the paper; all authors have read and agreed to the published version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Maciej Walędziak, MD, PhD, Associate Professor, Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Szaserów 128 Street, Warsaw 04-141, Poland. maciej.waledziak@gmail.com
Received: December 18, 2025 Revised: February 16, 2026 Accepted: April 13, 2026 Published online: May 16, 2026 Processing time: 132 Days and 13.5 Hours
Abstract
BACKGROUND
Sleeve gastrectomy (SG) is a widely performed bariatric procedure known for its technical simplicity, safety profile, and effectiveness in long-term weight reduction and improvement of obesity-related comorbidities. The development of minimally invasive techniques has led to the growing use of robotic systems, offering enhanced precision and visualization. While traditional SG is typically performed with four or five ports, recent advances suggest that a reduced-port approach may further minimize invasiveness without compromising surgical outcomes.
CASE SUMMARY
We present a 47-year-old female with body mass index 52 kg/m2, qualified for metabolic bariatric surgery and selected for SG as a first-stage restrictive procedure. A three-port robotic SG was performed using the da Vinci system, without the need for a liver retractor. The operation was completed with a console time of 21 minutes and active instrument time of 19 minutes. A 36 F bougie was used for calibration, and the stomach was resected using a robotic stapler. Leak testing confirmed staple-line integrity. The postoperative course was uneventful, with the patient tolerating oral intake 2 hours after surgery and being discharged on postoperative day one.
CONCLUSION
Three-port robotic SG represents a safe and viable modification of conventional port configurations. Although early results are encouraging, further studies involving larger patient groups are necessary to confirm the reproducibility and broader clinical benefits of this technique.
Core Tip: This case report describes a three-port robotic sleeve gastrectomy in an obese patient (body mass index > 50 kg/m2), demonstrating technical feasibility and early postoperative safety. Using the da Vinci robotic system, the procedure was completed efficiently without a liver retractor, and the patient resumed oral intake within hours and was discharged the next day. The report highlights the potential of reduced-port robotic approaches to minimize invasiveness, improve cosmesis, and maintain operative efficiency, providing a foundation for future studies to evaluate reproducibility and broader clinical benefits in larger patient populations.
