Robotic assisted Roux-en-Y hepaticojejunostomy in a post-cholecystectomy type E2 bile duct injury
Identifieur interne : 002627 ( Pmc/Curation ); précédent : 002626; suivant : 002628Robotic assisted Roux-en-Y hepaticojejunostomy in a post-cholecystectomy type E2 bile duct injury
Auteurs : Arun Prasad ; Sudipto De ; Purak Mishra ; Abhishek TiwariSource :
- World Journal of Gastroenterology : WJG [ 1007-9327 ] ; 2015.
Abstract
Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice for common hepatic duct injury type E2. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a telemanipulative robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of 36-year-old female patient who had undergone elective cholecystectomy 2 mo ago for gall stones and had a common bile duct injury during surgery. As the stricture was old and complete it could not be tackled endoscopically. We did a laparoscopic assisted adhesiolysis followed by robotic Roux-en-Y hepaticojejunostomy. No intraoperative complications or technical problems were encountered. Postoperative period was uneventful and she was discharged on the 4th postoperative day. At follow-up, she is doing well without evidence of jaundice or cholangitis. This is the first reported case of robotic hepaticojejunostomy following common bile duct injury. The hybrid technique gives the patient benefit of laparoscopic adhesiolysis and robotic suturing.
Url:
DOI: 10.3748/wjg.v21.i6.1703
PubMed: 25684934
PubMed Central: 4323445
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<author><name sortKey="Prasad, Arun" sort="Prasad, Arun" uniqKey="Prasad A" first="Arun" last="Prasad">Arun Prasad</name>
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<author><name sortKey="De, Sudipto" sort="De, Sudipto" uniqKey="De S" first="Sudipto" last="De">Sudipto De</name>
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<author><name sortKey="Mishra, Purak" sort="Mishra, Purak" uniqKey="Mishra P" first="Purak" last="Mishra">Purak Mishra</name>
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<author><name sortKey="Tiwari, Abhishek" sort="Tiwari, Abhishek" uniqKey="Tiwari A" first="Abhishek" last="Tiwari">Abhishek Tiwari</name>
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<author><name sortKey="De, Sudipto" sort="De, Sudipto" uniqKey="De S" first="Sudipto" last="De">Sudipto De</name>
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<author><name sortKey="Mishra, Purak" sort="Mishra, Purak" uniqKey="Mishra P" first="Purak" last="Mishra">Purak Mishra</name>
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<author><name sortKey="Tiwari, Abhishek" sort="Tiwari, Abhishek" uniqKey="Tiwari A" first="Abhishek" last="Tiwari">Abhishek Tiwari</name>
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<series><title level="j">World Journal of Gastroenterology : WJG</title>
<idno type="ISSN">1007-9327</idno>
<idno type="eISSN">2219-2840</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><p>Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice for common hepatic duct injury type E2. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a telemanipulative robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of 36-year-old female patient who had undergone elective cholecystectomy 2 mo ago for gall stones and had a common bile duct injury during surgery. As the stricture was old and complete it could not be tackled endoscopically. We did a laparoscopic assisted adhesiolysis followed by robotic Roux-en-Y hepaticojejunostomy. No intraoperative complications or technical problems were encountered. Postoperative period was uneventful and she was discharged on the 4<sup>th</sup>
postoperative day. At follow-up, she is doing well without evidence of jaundice or cholangitis. This is the first reported case of robotic hepaticojejunostomy following common bile duct injury. The hybrid technique gives the patient benefit of laparoscopic adhesiolysis and robotic suturing.</p>
</div>
</front>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Gastroenterol</journal-id>
<journal-id journal-id-type="iso-abbrev">World J. Gastroenterol</journal-id>
<journal-id journal-id-type="publisher-id">WJG</journal-id>
<journal-title-group><journal-title>World Journal of Gastroenterology : WJG</journal-title>
</journal-title-group>
<issn pub-type="ppub">1007-9327</issn>
<issn pub-type="epub">2219-2840</issn>
<publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name>
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<article-meta><article-id pub-id-type="pmid">25684934</article-id>
<article-id pub-id-type="pmc">4323445</article-id>
<article-id pub-id-type="other">jWJG.v21.i6.pg1703</article-id>
<article-id pub-id-type="doi">10.3748/wjg.v21.i6.1703</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Therapeutics Advances</subject>
</subj-group>
</article-categories>
<title-group><article-title>Robotic assisted Roux-en-Y hepaticojejunostomy in a post-cholecystectomy type E2 bile duct injury</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Prasad</surname>
<given-names>Arun</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>De</surname>
<given-names>Sudipto</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Mishra</surname>
<given-names>Purak</given-names>
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<contrib contrib-type="author"><name><surname>Tiwari</surname>
<given-names>Abhishek</given-names>
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<aff>Arun Prasad, Sudipto De, Purak Mishra, Abhishek Tiwari, Department of Minimal Access and Robotic Surgery, Apollo Hospital, New Delhi 110076, India</aff>
</contrib-group>
<author-notes><fn><p>Author contributions: Prasad A and De S designed the paper; Mishra P and Tiwari A performed the research; Prasad A and De S wrote the paper.</p>
<p>Correspondence to: Arun Prasad, MS, FRCS, FRCSEd, Senior Consultant Surgeon, Department of Minimal Access and Robotic Surgery, Apollo Hospital, Room 1268, 2<sup>nd</sup>
Floor, New Delhi 110076, India. <email>surgerytimes@gmail.com</email>
</p>
<p>Telephone: +91-11-29871250 Fax: +91-11-29871368</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><day>14</day>
<month>2</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>14</day>
<month>2</month>
<year>2015</year>
</pub-date>
<volume>21</volume>
<issue>6</issue>
<fpage>1703</fpage>
<lpage>1706</lpage>
<history><date date-type="received"><day>4</day>
<month>8</month>
<year>2014</year>
</date>
<date date-type="rev-recd"><day>18</day>
<month>10</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>14</day>
<month>12</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract><p>Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice for common hepatic duct injury type E2. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a telemanipulative robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of 36-year-old female patient who had undergone elective cholecystectomy 2 mo ago for gall stones and had a common bile duct injury during surgery. As the stricture was old and complete it could not be tackled endoscopically. We did a laparoscopic assisted adhesiolysis followed by robotic Roux-en-Y hepaticojejunostomy. No intraoperative complications or technical problems were encountered. Postoperative period was uneventful and she was discharged on the 4<sup>th</sup>
postoperative day. At follow-up, she is doing well without evidence of jaundice or cholangitis. This is the first reported case of robotic hepaticojejunostomy following common bile duct injury. The hybrid technique gives the patient benefit of laparoscopic adhesiolysis and robotic suturing.</p>
</abstract>
<kwd-group><kwd>Hepaticojejunostomy</kwd>
<kwd>Common bile duct</kwd>
<kwd>Robotic surgery</kwd>
<kwd>Cholecystectomy complication</kwd>
<kwd>Hepatic duct</kwd>
</kwd-group>
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