ArticleLangenbeck's archives of surgery2018
Robotic-assisted Roux-en-Y hepaticojejunostomy after bile duct injury.
Article in Langenbeck's archives of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Minimally invasive repair of iatrogenic bile duct injuries: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Post-cholecystectomy Bile Duct Injury in Mexico: Prevention, Diagnosis, Management, and Healthcare System Challenges.Cureus · 2026Review
- Early (≤ 1 year) anastomotic complications after laparoscopic and robotic hepaticojejunostomy: initial experience from a single center.Surgical endoscopy · 2026Article
- Minimally invasive surgery for post cholecystectomy biliary stricture: current evidence and future perspectives.World journal of gastrointestinal surgery · 2023Review
- Optimizing surgical management of iatrogenic bile duct injury: transhepatic percutaneous cholangial drainage combined with end-to-end biliary anastomosis.Updates in surgery · 2023Article
- Robotic biliary surgery for benign and malignant bile duct obstruction: a case series.Journal of robotic surgery · 2023Article
- Role of laparoscopy in the immediate, intermediate, and long-term management of iatrogenic bile duct injuries during laparoscopic cholecystectomy.Langenbeck's archives of surgery · 2022Article
- Mechanism of scar formation following Roux-en-Y choledochojejunostomy in a novel rat model of obstructive jaundice.Annals of translational medicine · 2021Article
- Disparities in bile duct injury care.Surgical endoscopy · 2020Article
- Robotic simultaneous resection for colorectal liver metastasis: feasibility for all types of liver resection.Langenbeck's archives of surgery · 2019Article
- A New Era of Bile Duct Repair: Robotic-Assisted Versus Laparoscopic Hepaticojejunostomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Da Vinci Robotic Surgical System has positioned itself as a tool that improves the ergonomics of the surgeon, facilitating dissection in confined spaces and enhancing the surgeon's skills. The technical aspects for successful bile duct repair are well-vascularized ducts, tension-free anastomosis, and complete drainage of hepatic segments, and all are achievable with robotic-assisted approach.
methodsThis was a retrospective study of our prospectively collected database of patients with iatrogenic bile duct injury who underwent robotic-assisted Roux-en-Y hepaticojejunostomy. Pre-, intra-, and short-term postoperative data were analyzed.
resultsA total of 30 consecutive patients were included. The median age was 46.5 years and 76.7% were female. Neo-confluences with section of hepatic segment IV were performed in 7 patients (those classified as Strasberg E4). In the remaining 23, a Hepp-Couinaud anastomosis was built. There were no intraoperative complications, the median estimated blood loss was 100 mL, and the median operative time was 245 min. No conversion was needed. The median length of stay was 6 days and the median length of follow-up was 8 months. The overall morbidity rate was 23.3%. Two patients presented hepaticojejunostomy leak. No mortality was registered.
conclusionRobotic surgery is feasible and can be safely performed, with acceptable short-term results, in bile duct injury repair providing the advantages of minimally invasive surgery. Further studies with larger number of cases and longer follow-up are needed to establish the role of robotic assisted approaches in the reconstruction of BDI.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.