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Robotic‐assisted repair of iatrogenic common bile duct injury after laparoscopic cholecystectomy: Surgical technique and outcomes
Author(s) -
Marino Marco Vito,
Mirabella Antonello,
Guarrasi Domenico,
Lupo Massimo,
Komorowski Andrzej Lech
Publication year - 2019
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1992
Subject(s) - medicine , cholecystectomy , bile duct , surgery , complication , laparoscopic cholecystectomy , blood loss , biliary tract , common bile duct , gallbladder , laparoscopy , abscess , general surgery
Abstract Background Bile duct injury after cholecystectomy can be a life‐threatening complication. Use of robotic approach to manage a complex biliary injury is in an early phase. Methods We have performed an analysis of our prospectively maintained database that included 12 patients who underwent robotic‐assisted repair of bile duct injury after laparoscopic cholecystectomy between 2014 and 2017. Results All patients underwent robotic biliary repair within 2 weeks after primary injury. No conversion to open surgery was necessary, the estimated mean blood loss was 252 mL, and the mean operative time was 260 minutes. The mean length of stay was 9.4 days. The 30‐day complication events were a subhepatic abscess and a recurrent episode of cholangitis. One patient underwent the reoperation. The mortality was null. Conclusion Robotic‐assisted bile duct injury repair seems to be safe and feasible. It offers promising results, thus potentially capable of modifying the management of biliary injury.