Robotic choledochojejunostomy with intracorporeal Roux limb construction.
BACKGROUND
Biliary surgery can often be very complex, with difficult access issues, small structures to be manipulated and sutured and proximity to major vessels. Additionally, biliary surgery is often reoperative. All of these issues have the potential to be aided by the use of technology which provides three-dimensional (3D) vision, excellent illumination and access, with steady instrument control under maximal magnification. The robot is such a technology which is currently available.


METHODS
The Da Vinci robot was used to perform a robotic choledochojejunostomy, using five ports and a totally intracorporeal technique.


RESULTS
Two patients were studied. There were no conversions to open operation. There was no mortality. One patient experienced a postoperative bile leak, which was successfully managed endoscopically.


CONCLUSIONS
Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis is a feasible operation with a definite learning curve. It has potential benefits to the patient.
Kohn
Geoffrey P
GP
Division of Gastrointestinal Surgery, University of North Carolina at Chapel Hill, NC 27599-7081, USA. Geoffrey_Kohn@med.unc.edu
Overby
D Wayne
DW
Martinie
John B
JB
D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D042883:Choledocholithiasis / Q000601:surgery*; D002768:Choledochostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012371:Robotics / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome