title: Robotic left hepatectomy with revision of hepaticojejunostomy.
abstract: Laparoscopic hepatectomy and hepaticojejunostomy remain a surgical challenge despite the recent advances in minimally invasive surgery. A robotic surgical system has been developed to overcome the inherent limitations of the traditional laparoscopic approach. However, techniques of robotic hepatectomy have not been well described, and a description of robotic major hepatectomy with bilioenteric anastomosis can be found only in two previous reports. Here, we report a 33-year-old man with a history of choledochocyst resection. The patient experienced repeat cholangitis with left hepatolithiasis during follow-up. Robotic left hepatectomy and revision of hepaticojejunostomy were performed smoothly. The patient recovered uneventfully and remained symptoms-free at a follow-up of 20 months. The robotic approach is beneficial in the fine dissection of the hepatic hilum and revision of hepaticojejunostomy in this particular patient.
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan. Electronic address: chen.kuohsin@gmail.com.
authors.forename: Kuo-Hsin
authors.initials: KH
authors.lastname: Chen
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: Shian-Dian
authors.initials: SD
authors.lastname: Chen
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: Ying-Da
authors.initials: YD
authors.lastname: Chen
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: Yin-Jen
authors.initials: YJ
authors.lastname: Chang
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: Tzu-Chao
authors.initials: TC
authors.lastname: Lin
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: Tiing-Foong
authors.initials: TF
authors.lastname: Siow
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: U-Chon
authors.initials: UC
authors.lastname: Chio
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: Shu-Yi
authors.initials: SY
authors.lastname: Huang
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: Jiann-Ming
authors.initials: JM
authors.lastname: Wu
authors.affiliation: Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
authors.forename: Kuo-Shyang
authors.initials: KS
authors.lastname: Jeng
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D012086:Reoperation; D065287:Robotic Surgical Procedures; D012371:Robotics
keywords: biliary reconstruction; hepaticojejunostomy; hepatolithiasis; robotic hepatectomy; robotic surgery