Robotic choledochojejunostomy with intracorporeal Roux limb construction.
Geoffrey P Kohn1, D Wayne Overby, John B Martinie
1Division of Gastrointestinal Surgery, University of North Carolina at Chapel Hill, NC 27599-7081, USA. Geoffrey_Kohn@med.unc.edu
Summary
Robotic choledochojejunostomy is a feasible surgical technique. This minimally invasive approach offers potential patient benefits, though a learning curve exists for surgeons.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Gastrointestinal Surgery
Background:
- Biliary surgery presents significant challenges including complex anatomy, reoperative cases, and proximity to major vessels.
- Advanced technology, offering 3D visualization, enhanced illumination, and precise instrument control, can aid in overcoming these difficulties.
- Robotic systems represent a currently available technology with the potential to address these surgical complexities.
Purpose of the Study:
- To evaluate the feasibility and outcomes of robotic choledochojejunostomy using an intracorporeal technique.
Main Methods:
- The Da Vinci robotic system was utilized for the procedure.
- A totally intracorporeal robotic choledochojejunostomy was performed.
- The surgery involved the use of five ports.
Main Results:
- The study included two patients.
- Neither patient required conversion to an open procedure.
- There were no mortalities; one patient experienced a manageable postoperative bile leak.
Conclusions:
- Robotic choledochojejunostomy with an intracorporeal Roux-en-Y anastomosis is a feasible surgical option.
- The procedure demonstrates potential patient benefits.
- A learning curve is associated with mastering this robotic surgical technique.
