Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Cases. May 16, 2026; 14(14): 117795
Published online May 16, 2026. doi: 10.12998/wjcc.v14.i14.117795
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, 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
Revised: February 16, 2026
Accepted: April 13, 2026
Published online: May 16, 2026
Processing time: 132 Days and 13.5 Hours
Core Tip
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.