期刊
AMERICAN SURGEON
卷 89, 期 6, 页码 2455-2459出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/00031348221096834
关键词
robotic surgery; revisional hepaticojejunostomy; biliary stricture
类别
This study presents a retrospective review of robotic revision of biliary enteric anastomoses (BEA) for benign strictures. The results showed that robotic intervention in this context is safe and improves the technical feasibility of the complex procedure, with all patients experiencing resolution of clinical signs and symptoms.
Surgical revision of biliary enteric anastomoses (BEA) can be a challenging undertaking and a robotic platform may provide advantages that address many of the technical obstacles. We present our technical approach and outcomes for patients undergoing robotic revision of BEA for benign strictures. A retrospective review was performed for robot-assisted benign BEA revision at our institution. Operative details, perioperative metrics, and outcomes are reported. Four patients underwent anastomotic revision following previously failed non-operative management. There were no intraoperative complications, mean length of stay was 4-days, and all patients experienced resolution of presenting clinical signs and symptoms. No patients required reoperation and there was no mortality. Postoperative outcomes were consistent with findings reported for other interventional modalities. Based on our experience we conclude robotic intervention in this context is safe and improves the technical feasibility of this complex procedure.
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