MUDr. Jaroslav Tvarůžek has performed 4,000+ robotic surgeries – the highest da Vinci volume in Czech Republic. The gastric sleeve surgery package may cost around $7,410 with robotic assistance or $6,230 laparoscopically, covering transfers, 3 meals, medicines, and full hospitalization. The JCI-accredited clinic uses a Da Vinci Si system for 35× magnified 3D precision. Dr. Tvarůžek serves as Director of the Robotic Surgery Centre.
","text_type":"mt_wow_description","best_texts":{"techniques":"Robot-assisted gastric sleeve, laparoscopic gastric sleeve, Da Vinci Si robotic system","why_its_ranked":"Performs Da Vinci Si robot-assisted sleeve gastrectomy, with extra programs for patients over 160 kg. Dedicated bariatric ward has completed 3,000+ operations. JCI accredited."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":68,"alias":"nemocnice-na-homolce","name":"Nemocnice Na Homolce ","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/68-6ac3a2c8b6884.png","short_description":"Nemocnice Na Homolce is a JCI-accredited state hospital in Prague. It pioneered the world's first wireless pacemaker. Core specialties include cardiovascular care, neurosurgery, and diagnostics.
The Gastric Sleeve Surgery reduces stomach size, controlling food intake for weight loss. It's less invasive with quicker recovery periods.
\n"},"753":{"operation":{"name":"Da Vinci Gastric Sleeve Surgery","alias":"da-vinci-gastric-sleeve-surgery","use_for_listing":true},"country_price":{"US":{"amount":17500,"max_amount":25000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":6500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":6500,"max_amount":10500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":8600,"max_amount":8800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":true,"CZ":true,"AT":false,"ES":false,"IT":true,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"EG":true,"RO":true},"description":"The procedure involves using a robotic system for a less invasive, precise weight loss surgery with quicker recovery.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":6652}},"direction":{"id":57,"name":"Weight Loss Surgery","alias":"weight-loss-surgery"},"illness_kind":{"id":57,"name":{"en":"Weight Loss Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":10,"max":21,"unit":"days","qualifier":"Desk-based work after uncomplicated robotic-assisted sleeve gastrectomy; physical work usually takes longer."},"complication_rate_pct":{"min":4,"max":10,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days; serious complications such as leak or bleeding about 1-3%."},"contraindications":["Unfit for general anesthesia due to severe cardiopulmonary disease","Uncontrolled severe psychiatric illness or active substance abuse","Active untreated eating disorder","Pregnancy","Severe untreated reflux or large hiatal hernia (relative)","Prohibitive bleeding disorder or inability to stop anticoagulation"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical inpatient stay after uncomplicated robotic sleeve gastrectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous exercise and heavy lifting usually resume after 4-6 weeks."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Time to maximal weight loss; varies by patient and adherence."},"fly_home_after_days":{"min":4,"max":7,"unit":"days","qualifier":"After 1-3 hospital nights and surgeon clearance; depends on flight length, hydration, and leak or clot risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative review, counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Nutritional and weight-loss review, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Weight, labs and supplement review, counted from surgery."}}],"indications":["Class III obesity, BMI 40 or higher","BMI 35-39.9 with comorbidities such as diabetes, hypertension, sleep apnea","Selected BMI 30-34.9 with metabolic disease","Failed non-surgical weight management"],"main_risks":["Staple-line leak","Bleeding","Infection or abscess","Venous thromboembolism","Gastric stenosis or stricture","New or worsening gastroesophageal reflux","Nutritional deficiencies (e.g., vitamin B12, iron, vitamin D)","Port-site hernia","Anesthesia-related complications"],"pain":"Mild to moderate pain for several days, mainly at port sites and from gas-related shoulder discomfort. It is usually controlled with oral analgesics.","preparation":["Preoperative evaluation with bariatric surgeon, anesthesiologist and dietitian","Blood tests, and ECG and other cardiopulmonary assessment as indicated","Upper endoscopy or imaging as indicated","Preoperative diet, often low-calorie or liver-shrinking, as instructed","Smoking cessation","Fasting before surgery","Psychological evaluation as required"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Monitoring, early walking, and clear liquids as tolerated.","restrictions":["No strenuous activity"]},{"phase":"Weeks 1-2","description":"Liquid diet, then pureed food as instructed; port-site healing and gradual return to light activity.","restrictions":["No heavy lifting","Small, slow sips and meals"]},{"phase":"Weeks 3-6","description":"Progression to soft, then regular small-portion foods with protein focus and vitamin supplements.","restrictions":["Avoid heavy lifting until cleared"]},{"phase":"Months 2-12","description":"Ongoing weight loss with nutritional monitoring and lifestyle changes.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated surgery; dietary progression continues longer."},"result_longevity":"Weight loss is generally durable with lifelong dietary and lifestyle adherence, but some patients regain part of the weight over the years; the amount varies.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation or conversion, mainly for reflux or weight regain, within about 5-10 years."},"scars":"Several small abdominal incisions, typically 0.8-1.2 cm each, usually fading to inconspicuous scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Robotic-assisted sleeve gastrectomy","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage standalone primary procedure; follow-up visits are not counted as treatment sessions."},"success":{"metric":"Excess weight loss","value":60,"unit":"percent of excess body weight","horizon":"12-18 months","population":"Adults with obesity after primary sleeve gastrectomy, BMI 35+ with adherence to follow-up","evidence_status":"limited"},"techniques":[{"name":"Robotic-assisted laparoscopic sleeve gastrectomy (da Vinci system)","suits_whom":"Adults meeting bariatric criteria, including patients with higher BMI or complex anatomy, where the surgeon prefers robotic assistance.","recovery":"Similar to laparoscopic sleeve gastrectomy: 1-3 nights in hospital and return to desk work in about 1-3 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operative time for uncomplicated primary robotic sleeve gastrectomy; longer in complex cases."},"initial_assessment_documents":["Recent blood tests including HbA1c","Previous abdominal surgery reports","Upper endoscopy report (if available)","Current medication and anticoagulant list","Sleep study report, if available"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 4-7 days including 1-3 hospital nights and surgeon clearance before flying. Follow-ups done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will do the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Determine ahead of time how you will communicate with your clinician and the other staff caring for you","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the facility's accreditation; accrediting groups set standards facilities must meet","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Accrediting groups, including Joint Commission International, DNV GL International Accreditation for Hospitals, and the International Society for Quality in Healthcare, have lists of standards that healthcare facilities need to meet to be accredited.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Staff cannot communicate with you clearly in a language you both speak","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You are considering another bariatric operation despite its higher complication risk","name":"Gastric bypass","source":{"url":"https://health.clevelandclinic.org/how-to-choose-the-best-bariatric-surgery-solution&rut=1e390abbec497c6ba17f79a94a838be4ed0b6299053af24ac186bcce1725a8cd","host":"health.clevelandclinic.org","quote":"The risk of all complications is 3% after sleeve gastrectomy versus 5% with gastric bypass.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":352}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"robotic-assisted","name":"Robotic-assisted laparoscopic sleeve gastrectomy (da Vinci system)","how_it_works":{"text":"The operation uses small incisions and robotic instruments","source":{"url":"https://my.clevelandclinic.org/health/treatments/22931-gastric-sleeve-surgery","host":"my.clevelandclinic.org","quote":"Most of the time, a sleeve gastrectomy is done by laparoscopic or robotic surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"weeks","label":"2–3 weeks","source":{"url":"https://health.clevelandclinic.org/how-to-choose-the-best-bariatric-surgery-solution&rut=1e390abbec497c6ba17f79a94a838be4ed0b6299053af24ac186bcce1725a8cd","host":"health.clevelandclinic.org","quote":"It usually takes about two or three weeks to recover, and after that, you’re able to get back to your normal life.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=czech-republic/city=prague/procedure=rukavnaa-rezekcia-zeludka-robotom-da-vinci/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-13T14:19:43.000Z","activeCountries":["CZ","TR","US","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}