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. 2023 Feb;17(1):55-62.
doi: 10.1007/s11701-022-01392-y. Epub 2022 Mar 21.

Robotic biliary surgery for benign and malignant bile duct obstruction: a case series

Mathieu D'Hondt  1 , Dennis A Wicherts  2
Affiliations

Robotic biliary surgery for benign and malignant bile duct obstruction: a case series

Mathieu D'Hondt et al. J Robot Surg. 2023 Feb.

Abstract

The majority of patients with benign or malignant biliary obstruction require surgical treatment with a bilio-enteric anastomosis. This requires fine dissection and advanced suturing. Robotic surgery may overcome some major limitations of conventional laparoscopic surgery. The precise role of robotic biliary surgery is, however, still to be defined. In our institution, patients requiring complex bile duct surgery were consecutively selected for minimally invasive robotic surgery from September 2020. All surgeries were undertaken using the da Vinci Xi Surgical System® (Intuitive Surgical, Sunnyvale, CA, USA). Intra-operative technique and postoperative outcome were analyzed. A total number of 14 patients underwent robotic biliary surgery for a variety of benign and malignant indications between September 2020 and May 2021. Six of fourteen patients (43%) had previous open abdominal surgery. Median blood loss was 25 mL (range 10-120 mL). There were no intra-operative complications and no conversions. Length of stay was between 3 and 11 days without major postoperative morbidity. Robotic surgery for benign and malignant bile duct obstruction is efficient and safe in experienced hands. Referral to a high-volume expert center is, however, advised.

Keywords: Bile duct; Biliary obstruction; Bilio-enteric anastomosis; Robotic surgery.

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References

    1. Jang JY, Yoon YS, Kang MJ, Kwon W, Park JW, Chang YR, Ahn YJ, Cho JY, Han HS, Kim SW (2013) Laparoscopic excision of a choledochal cyst in 82 consecutive patients. Surg Endosc 27:1648–1652 - DOI - PubMed
    1. Hwang DW, Lee JH, Lee SY, Song DK, Hwang JW, Park KM, Lee YJ (2012) Early experience of laparoscopic complete en bloc excision for choledochal cysts in adults. Surg Endosc 26:3324–3329 - DOI - PubMed
    1. Lof S, Vissers FL, Klompmaker S, Berti S, Boggi U, Coratti A, Dokmak S, Fara R, Festen S, D’Hondt M, Khatkov I, Lips D, Luyer M, Manzoni A, Rosso E, Saint-Marc O, Besselink MG, Abu Hilal M (2021) Risk of conversion to open surgery during robotic and laparoscopic pancreatoduodenectomy and effect on outcomes: international propensity score-matched comparison study. Br J Surg 108:80–87 - DOI - PubMed
    1. Lof S, van der Heijde N, Abuawwad M, Al-Sarireh B, Boggi U, Butturini G, Capretti G, Coratti A, Casadei R, D’Hondt M, Esposito A, Ferrari G, Fusai G, Giardino A, Groot Koerkamp B, Hackert T, Kamarajah S, Kauffmann EF, Keck T, Marudanayagam R, Nickel F, Manzoni A, Pessaux P, Pietrabissa A, Rosso E, Salvia R, Soonawalla Z, White S, Zerbi A, Besselink MG, Abu Hilal M (2021) Robotic versus laparoscopic distal pancreatectomy: multicentre analysis. Br J Surg 108:188–195 - DOI - PubMed
    1. Ciria R, Berardi G, Alconchel F, Briceño J, Choi GH, Wu YM, Sugioka A, Troisi RI, Salloum C, Soubrane O, Pratschke J, Martinie J, Tsung A, Araujo R, Sucandy I, Tang CN, Wakabayashi G (2020) The impact of robotics in liver surgery: a worldwide systematic review and short-term outcomes meta-analysis on 2,728 cases. J Hepatobiliary Pancreat Sci. https://doi.org/10.1002/jhbp.869 - DOI - PubMed

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