Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/33582
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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.date.accessioned2019-09-23T14:21:17Z-
dc.date.available2019-09-23T14:21:17Z-
dc.date.issued2019
dc.identifier.citationANNALS OF SURGICAL ONCOLOGY, v.26, n.9, p.2981-2984, 2019
dc.identifier.issn1068-9265
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/33582-
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.language.isoeng
dc.publisherSPRINGEReng
dc.relation.ispartofAnnals of Surgical Oncology
dc.rightsrestrictedAccesseng
dc.subject.otherbiliary injurieseng
dc.subject.othermanagementeng
dc.subject.otherresectioneng
dc.titleRobotic Left Hepatectomy and Roux-en-Y Hepaticojejunostomy After Bile Duct Injuryeng
dc.typearticleeng
dc.rights.holderCopyright SPRINGEReng
dc.identifier.doi10.1245/s10434-019-07474-w
dc.identifier.pmid31147989
dc.subject.wosOncologyeng
dc.subject.wosSurgeryeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.author.externalMACHADO, Marcel Autran:Univ Sao Paulo, Dept Surg, Sao Paulo, Brazil; Nove Julho Hosp, Sao Paulo, Brazil
hcfmusp.author.externalSURJAN, Rodrigo C.:Univ Sao Paulo, Dept Surg, Sao Paulo, Brazil; Nove Julho Hosp, Sao Paulo, Brazil
hcfmusp.author.externalARDENGH, Andre O.:Nove Julho Hosp, Sao Paulo, Brazil
hcfmusp.description.beginpage2981
hcfmusp.description.endpage2984
hcfmusp.description.issue9
hcfmusp.description.volume26
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000478894200045
hcfmusp.origem.id2-s2.0-85066855344
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
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dc.description.indexMEDLINEeng
dc.identifier.eissn1534-4681
hcfmusp.citation.scopus5-
hcfmusp.scopus.lastupdate2022-07-15-
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