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Published in: Journal of Robotic Surgery 1/2023

21-03-2022 | Cholecystectomy | Original Article

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

Authors: Mathieu D’Hondt, Dennis A. Wicherts

Published in: Journal of Robotic Surgery | Issue 1/2023

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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.
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Metadata
Title
Robotic biliary surgery for benign and malignant bile duct obstruction: a case series
Authors
Mathieu D’Hondt
Dennis A. Wicherts
Publication date
21-03-2022
Publisher
Springer London
Keyword
Cholecystectomy
Published in
Journal of Robotic Surgery / Issue 1/2023
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-022-01392-y

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