Background
Bariatric surgery, due to the nature of the patients, has associated challanges that include thicker abdominal wall, increaed visceral fat and larger organs. The technical difficulties are particularly important in duodenal switch procedures , in whch a robotic approach may benefit patients in terms of length of hospital stay, readmission and reoperation rates. Recent studies support that minimally invasive approaches, such as robotic, appear to be a safe, effective and applicable to the bariatric population. The authors of this study would like to explcit techniques for performing an entirelly robotic laparoscopic duodenal switch.