ArticleLangenbeck's archives of surgery2023
Innovative suture technique for robotic hepaticojejunostomy: double-layer interrupted sutures.
Article in Langenbeck's archives of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- [Biliodigestive anastomosis: technique and outcome].Chirurgie (Heidelberg, Germany) · 2025Article
- Impact of internal stent placement on late biliary complications after robot-assisted pancreaticoduodenectomy.Surgical endoscopy · 2025Observational
- The state of roboticGland surgery · 2024Article
- Treatment of hemolymphangioma by robotic surgery: A case report.World journal of gastrointestinal surgery · 2024Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
purposeBiliary reconstruction remains a technically demanding and complicated procedure in minimally invasive hepatopancreatobiliary surgeries. No optimal hepaticojejunostomy (HJ) technique has been demonstrated to be superior for preventing biliary complications. This study aimed to investigate the feasibility of our unique technique of posterior double-layer interrupted sutures in robotic HJ.
methodsWe performed a retrospective analysis of a prospectively collected database. Forty-two patients who underwent robotic pancreatoduodenectomy using this technique between September 2020 and November 2022 at our center were reviewed. In the posterior double-layer interrupted technique, sutures were placed to bite the bile duct, posterior seromuscular layer of the jejunum, and full thickness of the jejunum.
resultsThe median operative time was 410 (interquartile range [IQR], 388-478) min, and the median HJ time was 30 (IQR, 28-39) min. The median bile duct diameter was 7 (IQR, 6-10) mm. Of the 42 patients, one patient (2.4%) had grade B bile leakage. During the median follow-up of 12.6 months, one patient (2.4%) with bile leakage developed anastomotic stenosis. Perioperative mortality was not observed. A surgical video showing the posterior double-layer interrupted sutures in the robotic HJ is included.
conclusionsPosterior double-layer interrupted sutures in robotic HJ provided a simple and feasible method for biliary reconstruction with a low risk of biliary complications.
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