Robotic Roux-en-Y Hepaticojejunostomy for Right Hepatic Duct Transection. Application of Minimally Invasive Technique for High Bile Duct Injury

Area of Science:

• Hepatobiliary Surgery
• Minimally Invasive Surgery
• Surgical Technology

Background:

• Minimally invasive bile duct repair is an evolving technique in hepatobiliary surgery.
• Laparoscopic approaches for biliary repair are typically for injuries below the biliary bifurcation.
• High bile duct injuries above the hilar plate present greater technical challenges and higher risks of anastomotic stricture due to decreased bile duct caliber.

Purpose of the Study:

• To describe a minimally invasive technique for repairing high bile duct injuries.
• To demonstrate the application of robotic technology in complex hepatobiliary reconstructions.

Main Methods:

• Description of a minimally invasive technique for high bile duct injury repair.
• Utilization of robotic technology for enhanced precision and dexterity.
• Focus on repairs above the hilar plate, addressing anatomical complexities.

Main Results:

• Successful application of robotic technology for minimally invasive high bile duct repair.
• Detailed procedural steps for Roux-en-Y hepaticojejunostomy above the hilar plate.
• Potential to overcome challenges associated with traditional laparoscopic or open approaches.

Conclusions:

• Robotic technology facilitates minimally invasive repair of high bile duct injuries.
• The described technique offers a viable alternative for complex biliary reconstructions.
• Further adoption of robotic surgery may improve outcomes in challenging hepatobiliary cases.