Robotic Roux-en-Y Bilioenteric Reconstruction

Goja, Sanjay; Singh, Manoj Kumar; Saha, Sourav; Mahabaleshwar, Varun; Soin, Arvinder S.

doi:10.1007/s12262-017-1676-1

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…It has been proven to be a safe technique by several groups and outcomes are comparable to open surgery. 1,4,8,9 Kadaba et al 10 reported a series of four hundred and sixty-two open biliary-enteric anastomoses performed for a variety of indications. They concluded that biliary reconstruction following biliary injury and an anastomosis above the confluence were the only significant independent risk factors for anastomotic leak.…”

Section: Discussionmentioning

confidence: 99%

Robotic hepaticojejunostomy: surgical technique and risk factor analysis for anastomotic leak and stenosis

Bustos

Fernandes

Mangano

et al. 2020

HPB

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Background: A variety of techniques have been described for the construction of the HJ (hepaticojejunostomy). Due to its technical challenges, HJ is rarely performed in a pure laparoscopic setting. In stark contrast, the increasing availability of the robotic platform has sparked new interest in pursuing this procedure in a minimally invasive fashion. The aim of our study was to describe our surgical technique and to identify risk factors for anastomotic leak and stenosis following robotic surgery. Methods: We performed a retrospective analysis of a prospectively collected database, including all consecutive HJ carried out for different indications over a 10 year period.Results: One hundred fifty-two patients undergoing robotic HJ performed by the same surgeon were analyzed. Bile leak occurred in 2.6% of the patients. Stricture rate was 3.3%. The median follow up was 25.5 months. There was no mortality related to anastomotic complications. On univariate analysis, patient's age less than 65 years was the only risk factor for anastomotic stricture. On multivariate analysis, no predictor factors for leak or stenosis were identified. Conclusion:HJs carried out in a robotic fashion allow highly satisfactory results. No independent risk factors for bile leak of stenosis were identified on multivariate analysis.

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Section: Discussionmentioning

confidence: 99%

Robotic hepaticojejunostomy: surgical technique and risk factor analysis for anastomotic leak and stenosis

Bustos

Fernandes

Mangano

et al. 2020

HPB

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“…A minimally invasive technique, especially the laparoscopic approach, is used by surgeons primarily for type 1 and 2 strictures but has yet to gain popularity due to the technical challenges encountered, mainly during reconstruction. There are minimal data on the robotic approach for the repair of post-cholecystectomy biliary strictures [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Open injury, robotic repair–moving ahead! Total robotic Roux-en-Y hepaticojejunostomy for post-open cholecystectomy Bismuth type 2 biliary stricture using indocyanine green dye

Rathore,

Varshney,

Soni

et al. 2023

J Minim Invasive Surg

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Hepaticojejunostomy is currently the best treatment for post-cholecystectomy biliary strictures. Laparoscopic repair has not gained popularity due to difficult reconstruction. We present case of 43-year-old-female with Bismuth type 2 stricture following laparoscopic converted open cholecystectomy with bile duct injury done elsewhere. Position was modified Llyod-Davis position and four 8-mm robotic ports (including camera) and 12-mm assistant port were placed. The procedure included noticeable steps such as adhesiolysis, identification of gallbladder fossa, identification of common hepatic duct, lowering of hilar plate etc. Operating and console time were 420 and 350 minutes and blood loss was 100 mL. Patient was discharged on postoperative day 4. Robotic repair (hepaticojejunostomy) of biliary tract stricture after cholecystectomy is safe and feasible with good outcomes.

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Anastomosentechniken in der minimal-invasiven hepatobiliopankreatischen Chirurgie

et al. 2023

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Robotic Roux-en-Y Bilioenteric Reconstruction

Cited by 4 publications

References 3 publications

Robotic hepaticojejunostomy: surgical technique and risk factor analysis for anastomotic leak and stenosis

Robotic hepaticojejunostomy: surgical technique and risk factor analysis for anastomotic leak and stenosis

Open injury, robotic repair–moving ahead! Total robotic Roux-en-Y hepaticojejunostomy for post-open cholecystectomy Bismuth type 2 biliary stricture using indocyanine green dye

Anastomosentechniken in der minimal-invasiven hepatobiliopankreatischen Chirurgie

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