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Live Video of Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury
Robotic Surgery / May 23rd, 2020 11:55 am     A+ | a-

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.
6 COMMENTS
Dr. R. K. Soni
#1
May 26th, 2020 4:56 am
Thank you, it's very clear, very useful and realistic. Thanks for uploading of Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury video.
Dr. Abhishek Srivastava
#2
May 26th, 2020 8:00 am
Thanks..very interesting lesson..so much to learn yet. A very interesting and motivating topic on Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Thanks for sharing.
Dr. Bhavesh
#3
May 27th, 2020 6:37 am
Thanks..very interesting lesson..so much to learn yet. A very interesting and motivating topic on
Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Thanks for sharing.
Dr. Mahtaab Alam
#4
May 28th, 2020 7:58 am
This was very inspiring it gives me hope that I can do it, I've done it before I can do it again. Thanks for the video of Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury, it's greatly appreciated.
Dr. Manish Srivastav
#5
May 28th, 2020 8:09 am
Amazing video of Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Dr Mishrat Thank you for teaching suitable techniques in very easy way. This is such an informational and Educative video. Thank you for posting.
Dr. John Methow
#6
May 28th, 2020 8:41 am
WOW !!! BEYOND helpful! Very interesting and explained in a way a layman can understand. Wonderful content! Dr. Mishra everytime I watch your videos I feel smart. Thanks for sharing this video of Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury.
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