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Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury
Robotic Surgery / Aug 30th, 2019 2:18 pm     A+ | a-

Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury



Robotic surgery has the advantages of 20 times magnified 3D high definition vision for the surgeon. The intuitive and tremor free wrist articulation with accurate movements of the robotic fingers makes it an ideal tool to do fine reconstructive CBD surgery. Hepaticojejunostomy is one such surgery specially when done for bile duct injury that occurred during cholecystectomy. We present the robotic hepaticojejunostomy for iatrogenic 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 by many expert laparoscopic surgeons with the advancement of laparoscopic skill. Recently, da Vinci robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field.

We present a case video above of 45-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 7th 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 in India. 

To view the entire video please log on to https://www.youtube.com/watch?v=XznQUZu1e5c
6 COMMENTS
Roslia Santamaria
#1
Dec 26th, 2019 4:57 am
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Rahul Gupta
#2
Apr 24th, 2020 1:23 pm
Thanks for sharing the Robotic surgery video. It was a pleasure to see your video.
Areen D Wanrio
#3
May 11th, 2020 8:54 am
This video is amazing, Robotic Roux-en-Y hepaticojejunostomy anastomosis. Dr Mishrathank you for teaching suitable techniques in very easy way. Really helpful.
Dr. Rajinish Gaubha
#4
May 18th, 2020 8:29 am
Impressive video of Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Dr. Mishra, your demonstration of each technique was very well presented. This the best training institute to learn Laparoscopy surgery.
AMIT KUMAR
#5
May 21st, 2020 10:21 am

Excellent lecture of Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. The lecture notes are precise and the content is really interesting.
Dr. Suresh Bansal
#6
May 22nd, 2020 11:29 am
This video is amazing, Thanks for showing this video of Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Dr Mishra thank you for teaching suitable techniques in very easy way. Really helpful.
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