Robot-assisted laparoscopic hepaticojejunostomy for advanced malignant biliary obstruction

Asian Journal of Surgery
Eric C H Lai, Chung Ngai Tang

Abstract

To report our experience in palliative hepaticojejunostomy for advanced malignant biliary obstruction by means of robotic approach Robot-assisted laparoscopic hepaticojejunostomy for advanced malignant biliary obstruction was performed in nine patients from May 2009 to April 2014. During the study period, robotic hepaticojejunostomy for advanced malignant biliary obstruction was completed successfully in nine patients. Roux-en-Y hepaticojejunostomy and double (hepaticojejunostomy, and gastrojejunostomy) bypass were performed in five and four patients, respectively. The mean operating time was 212.8 minutes. The mean blood loss was 38.7 mL. The overall complication rate was 22.2%. Bile leak complication occurred in one patient only. There was no procedure-related mortality. The mean postoperative hospital stay was 13.3 days. Five patients received palliative systemic chemotherapy after bypass surgery. The mean survival time was 11.1 months. During follow up, only three patients with cholangiocarcinoma had recurrent biliary obstruction after end-to-side hepaticojejunostomy due to tumor progression, and needed percutaneous transhepatic biliary drainage. Among these nine patients, there were a total of eight episodes of readmission...Continue Reading

References

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Jan 25, 2014·Pediatric Surgery International·Naved K AlizaiAzad S Najmaldin

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Citations

Aug 18, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Francesco GuerraAndrea Coratti
Feb 19, 2019·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Marco Vito MarinoAndrzej Lech Komorowski
Jan 12, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Jizhe LiRong Liu
Nov 7, 2018·World Journal of Gastrointestinal Surgery·Chelsey C CiambellaThomas J Miner
Dec 29, 2020·Expert Review of Gastroenterology & Hepatology·Jiacheng WuYongsheng Yang
Mar 21, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Roberto BustosPier C Giulianotti

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