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Related Experiment Video

Updated: May 12, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Hepaticojejunostomy with the "Hand-Fan" technique.

Salih Pekmezci¹, Kaya Saribeyoglu, Erman Aytac

¹Department of General Surgery, Division of Hepatopancreatobiliary Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Hepatobiliary & Pancreatic Diseases International : HBPD INT

|April 6, 2013

Summary

The Hand-Fan technique simplifies difficult hepaticojejunostomy procedures, particularly for small bile ducts. This novel approach offers improved surgeon comfort and satisfactory clinical outcomes for complex biliary reconstructions.

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Last Updated: May 12, 2026

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Area of Science:

Hepatobiliary Surgery
Surgical Innovation
Gastrointestinal Surgery

Background:

Standard hepaticojejunostomy can be challenging due to small bile ducts and deep liver hilum locations.
Difficulties in performing hepaticojejunostomy can lead to complications and suboptimal patient outcomes.

Purpose of the Study:

To introduce and evaluate the efficacy of the novel Hand-Fan technique for hepaticojejunostomy.
To assess the Hand-Fan technique's ability to improve exposure and ease of performance in challenging cases.

Main Methods:

A retrospective study included 31 patients undergoing hepaticojejunostomy using the Hand-Fan technique between July 2004 and June 2011.
The technique was applied for bile duct injury and other benign biliary pathologies.
Postoperative hospital stay, follow-up duration, liver function tests, and clinical recurrence were assessed.

Main Results:

Median postoperative hospital stay was 7 days (range: 6-25 days).
Median follow-up duration was 33 months (range: 2-84 months).
Normalized blood bilirubin levels and no signs of clinical recurrence or impaired bile flow were observed post-procedure.

Conclusions:

The Hand-Fan technique significantly facilitates challenging hepaticojejunostomies.
This innovative method provides exceptional surgeon comfort and leads to satisfactory clinical results.
The Hand-Fan technique is a valuable advancement for complex biliary reconstructive surgery.