Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury
This video demonstrates Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. 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 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 a 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 robotic 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. For more detail log on to: https://www.laparoscopyhospital.com/robotic-surgery.html
2 COMMENTS
Shashi Kant Rai
#1
Apr 17th, 2020 10:15 am
This video is an excellent.in presentation. Excellent surgery technic and also safe.
Dr. Anurag Pandey
#2
Mar 15th, 2021 11:16 am
Dr. Mishra is enthusiastic and knowledgeable. This video is one of the most interesting video. Thnk you for this video of Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury.
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