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Asian J Surg. 2014 Apr;37(2):106-9. doi: 10.1016/j.asjsur.2014.01.005. Epub 2014 Mar 19.

Robotic left hepatectomy with revision of hepaticojejunostomy.

Author information

  • 1Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan. Electronic address: chen.kuohsin@gmail.com.
  • 2Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

Abstract

Laparoscopic hepatectomy and hepaticojejunostomy remain a surgical challenge despite the recent advances in minimally invasive surgery. A robotic surgical system has been developed to overcome the inherent limitations of the traditional laparoscopic approach. However, techniques of robotic hepatectomy have not been well described, and a description of robotic major hepatectomy with bilioenteric anastomosis can be found only in two previous reports. Here, we report a 33-year-old man with a history of choledochocyst resection. The patient experienced repeat cholangitis with left hepatolithiasis during follow-up. Robotic left hepatectomy and revision of hepaticojejunostomy were performed smoothly. The patient recovered uneventfully and remained symptoms-free at a follow-up of 20 months. The robotic approach is beneficial in the fine dissection of the hepatic hilum and revision of hepaticojejunostomy in this particular patient.

Copyright © 2014. Published by Elsevier B.V.

KEYWORDS:

biliary reconstruction; hepaticojejunostomy; hepatolithiasis; robotic hepatectomy; robotic surgery

[PubMed - indexed for MEDLINE]
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