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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMACHADO, Marcel Autran
dc.contributor.authorSURJAN, Rodrigo C.
dc.contributor.authorARDENGH, Andre O.
dc.contributor.authorMAKDISSI, Fabio
dc.identifier.citationANNALS OF SURGICAL ONCOLOGY, v.26, n.9, p.2981-2984, 2019
dc.description.abstractBackground Bile duct injuries after cholecystectomy remain a major concern because their incidence has not changed through the years despite technical advances. This video presents a robotic left hepatectomy and Roux-en-Y hepaticojejunostomy as a treatment for a complex bile duct injury after laparoscopic cholecystectomy. Methods A 52-year-old man underwent laparoscopic cholecystectomy at another institution 8 years previously, which resulted in a bile duct injury. His postoperative period was complicated by jaundice and cholangitis. He was treated with endoscopic retrograde cholangiopancreatography and multiple endoprostheses for 3 years, after which the endoprostheses were removed, and he was sent to the authors' institution. Computed tomography showed that the left liver had signs of disturbed perfusion and dilation of the left intrahepatic bile duct. The patient was asymptomatic and refused any further attempt at surgical correction of the lesion. He was accompanied for 5 years. Magnetic resonance imaging showed progressive atrophy of the left liver. Finally, 3 months before this writing, he presented with intermittent episodes of cholangitis. A multidisciplinary team decided to perform left hepatectomy with Roux-en-Y hepatojejunostomy via a robotic approach. The left liver was atrophied, and left hepatectomy was performed. Fluorescence imaging was used to identify the right bile duct. At opening of the right bile duct, small stones were found and removed. Antecolic Roux-en-Y hepaticojejunostomy then was performed. Results The operative time was 335 min. Recovery was uneventful, and the patient was discharged on postoperative day 4. Conclusions Robotic repair of bile duct injuries is feasible and safe, even when liver resection is necessary. This video may help oncologic surgeons to perform this complex procedure.eng
dc.relation.ispartofAnnals of Surgical Oncology
dc.subject.otherbiliary injurieseng
dc.titleRobotic Left Hepatectomy and Roux-en-Y Hepaticojejunostomy After Bile Duct Injuryeng
dc.rights.holderCopyright SPRINGEReng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng, Marcel Autran:Univ Sao Paulo, Dept Surg, Sao Paulo, Brazil; Nove Julho Hosp, Sao Paulo, Brazil, Rodrigo C.:Univ Sao Paulo, Dept Surg, Sao Paulo, Brazil; Nove Julho Hosp, Sao Paulo, Brazil, Andre O.:Nove Julho Hosp, Sao Paulo, Brazil
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.relation.referenceAyloo S, 2019, J LAPAROENDOSC ADV S, V29, P817, DOI 10.1089/lap.2018.0664eng
hcfmusp.relation.referenceBarrett M, 2018, SURG ENDOSC, V32, P1683, DOI 10.1007/s00464-017-5847-8eng
hcfmusp.relation.referenceCuendis-Velazquez A, 2019, J GASTROINTEST SURG, V23, P451, DOI 10.1007/s11605-018-4018-0eng
hcfmusp.relation.referenceCuendis-Velazquez A, 2018, LANGENBECK ARCH SURG, V403, P53, DOI 10.1007/s00423-018-1651-8eng
hcfmusp.relation.referenceGiulianotti PC, 2018, ANN SURG, V267, pE7, DOI 10.1097/SLA.0000000000002343eng
hcfmusp.relation.referenceMACHADO MCC, 1986, SURG GYNECOL OBSTET, V162, P283eng
hcfmusp.relation.referenceMaker AV, 2017, J GASTROINTEST SURG, V21, P1961, DOI 10.1007/s11605-017-3455-5eng
hcfmusp.relation.referencePekolj J, 2015, WORLD J SURG, V39, P1216, DOI 10.1007/s00268-014-2933-0eng
hcfmusp.relation.referencePrasad A, 2015, WORLD J GASTROENTERO, V21, P1703, DOI 10.3748/wjg.v21.i6.1703eng
hcfmusp.relation.referenceSchmidt SC, 2004, SURGERY, V135, P613, DOI 10.1016/j.surg.2003.11.018eng
hcfmusp.relation.referenceTruant S, 2010, HPB, V12, P334, DOI 10.1111/j.1477-2574.2010.00172.xeng
hcfmusp.relation.referenceTsung A, 2014, ANN SURG, V259, P549, DOI 10.1097/SLA.0000000000000250eng
hcfmusp.relation.referenceVitale GC, 2008, J AM COLL SURGEONS, V206, P918, DOI 10.1016/j.jamcollsurg.2008.01.064eng
hcfmusp.relation.referenceWinslow ER, 2009, ANN SURG, V249, P426, DOI 10.1097/SLA.0b013e31819a6b2eeng
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