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Related Experiment Video

Updated: Apr 15, 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

Robot-assisted laparoscopic hepaticojejunostomy for advanced malignant biliary obstruction.

Eric C H Lai¹, Chung Ngai Tang¹

¹Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong Special Administrative Region.

Asian Journal of Surgery

|March 24, 2015

Summary

Robot-assisted surgery offers a safe and effective palliative option for advanced malignant biliary obstruction. This minimally invasive approach resulted in a low complication rate and improved patient quality of life.

Keywords:

cholangiocarcinoma hepaticojejunostomy jaundice pancreatic cancer robot

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Area of Science:

Minimally Invasive Surgery
Surgical Oncology
Gastroenterology

Background:

Advanced malignant biliary obstruction presents significant palliative care challenges.
Surgical intervention aims to relieve obstruction and improve quality of life.

Purpose of the Study:

To evaluate the efficacy and safety of robot-assisted laparoscopic hepaticojejunostomy for palliative treatment of advanced malignant biliary obstruction.

Main Methods:

A retrospective review of nine patients who underwent robot-assisted laparoscopic hepaticojejunostomy between May 2009 and April 2014.
Procedures included Roux-en-Y hepaticojejunostomy and double bypass (hepaticojejunostomy and gastrojejunostomy).

Main Results:

Successful completion of robot-assisted hepaticojejunostomy in all nine patients.
Mean operating time: 212.8 minutes; mean blood loss: 38.7 mL.
Overall complication rate: 22.2% (one bile leak); no procedure-related mortality. Mean survival: 11.1 months.

Conclusions:

Robot-assisted laparoscopic hepaticojejunostomy is a feasible and safe palliative procedure for malignant biliary obstruction.
The approach is associated with a low complication rate and potentially improved quality of life.