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Robotic choledochojejunostomy with intracorporeal Roux limb construction
Author(s) -
Kohn Geoffrey P.,
Overby D. Wayne,
Martinie John B.
Publication year - 2008
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.206
Subject(s) - anastomosis , surgery , medicine , leak , magnification , robotic surgery , computer science , surgical robot , robot , artificial intelligence , engineering , environmental engineering
Background Biliary surgery can often be very complex, with difficult access issues, small structures to be manipulated and sutured and proximity to major vessels. Additionally, biliary surgery is often reoperative. All of these issues have the potential to be aided by the use of technology which provides three‐dimensional (3D) vision, excellent illumination and access, with steady instrument control under maximal magnification. The robot is such a technology which is currently available. Methods The Da Vinci ® robot was used to perform a robotic choledochojejunostomy, using five ports and a totally intracorporeal technique. Results Two patients were studied. There were no conversions to open operation. There was no mortality. One patient experienced a postoperative bile leak, which was successfully managed endoscopically. Conclusions Robotic choledochojejunostomy with intracorporeal Roux‐en‐Y anastomosis is a feasible operation with a definite learning curve. It has potential benefits to the patient. Copyright © 2008 John Wiley & Sons, Ltd.