Robotic resection of extrahepatic cholangiocarcinoma: Institutional outcomes of bile duct cancer surgery using a minimally invasive technique

2021 ◽  
Author(s):  
Iswanto Sucandy ◽  
Emanuel Shapera ◽  
Kevin Jacob ◽  
Kenneth Luberice ◽  
Kaitlyn Crespo ◽  
...  
Keyword(s):  
Bile Duct ◽  
Minimally Invasive ◽  
Bile Duct Cancer ◽  
Cancer Surgery ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Extrahepatic Cholangiocarcinoma ◽  
Duct Cancer ◽  
Robotic Resection

Robotic Roux-en-Y Hepaticojejunostomy for Right Hepatic Duct Transection. Application of Minimally Invasive Technique for High Bile Duct Injury

2021 ◽  
pp. 000313482095635
Author(s):  
Iswanto Sucandy ◽  
Andres Giovannetti ◽  
Janelle Spence ◽  
Sharona Ross ◽  
Alexander Rosemurgy
Keyword(s):  
Bile Duct ◽  
Minimally Invasive ◽  
Bile Duct Injury ◽  
Anastomotic Stricture ◽  
Hepatic Duct ◽  
Minimally Invasive Technique ◽  
Laparoscopic Technique ◽  
Invasive Technique ◽  
Open Operation ◽  
Hilar Plate

Minimally Invasive bile duct repair is an emerging modern technique in hepatobiliary surgery. Conventional laparoscopic technique had been sporadically reported by high volume surgeons as an alternative to open operation, however, the majority of those repairs were undertaken for biliary injury below the biliary bifurcation. Roux-en-Y Hepaticojejunostomy below the biliary bifurcation is technically much simpler to complete when compared to that above the hilar plate (high bile duct injury). The risk of long-term anastomotic stricture is also higher as bile duct caliber decreases. This is anatomically inherent as we travel further cranial beyond the hilar plate. In this multimedia article, we describe our minimally invasive technique for high bile duct injury repair using robotic technology.

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