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KMID : 1035920230260030151
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Journal of Minimally Invasive Surgery
2023 Volume.26 No. 3 p.151 ~ p.154
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Open injury, robotic repair?moving ahead! Total robotic Roux-en-Y hepaticojejunostomy for post-open cholecystectomy Bismuth type 2 biliary stricture using indocyanine green dye
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Kaushal Singh Rathore
Peeyush Varshney
Subhash Chandra Soni
Vaibhav Kumar Varshney
Selvakumar B
Lokesh Agarwal
Chhagan Lal Birda
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Abstract
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Hepaticojejunostomy is currently the best treatment for post-cholecystectomy biliary strictures. Laparoscopic repair has not gained popularity due to difficult reconstruction. We present case of 43-year-old-female with Bismuth type 2 stricture following laparoscopic converted open cholecystectomy with bile duct injury done elsewhere. Position was modified Llyod-Davis position and four 8-mm robotic ports (including camera) and 12-mm assistant port were placed. The procedure included noticeable steps such as adhesiolysis, identification of gallbladder fossa, identification of common hepatic duct, lowering of hilar plate etc. Operating and console time were 420 and 350 minutes and blood loss was 100 mL. Patient was discharged on postoperative day 4. Robotic repair (hepaticojejunostomy) of biliary tract stricture after cholecystectomy is safe and feasible with good outcomes.
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KEYWORD
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Hepaticojejunostomy, Minimally invasive, Stricture, Cholecystectomy, Gallbladder
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