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机器人辅助 Roux-en-Y 胆肠重建术

Robotic Roux-en-Y Bilioenteric Reconstruction.

作者信息

Goja Sanjay, Singh Manoj K, Saha Sujeet, Mahabaleshwar Varun, Soin Arvinder S

机构信息

Medanta Institute of Liver Diseases and Transplantation, Medanta-The Medicity, Delhi, NCR India.

出版信息

Indian J Surg. 2017 Oct;79(5):475-478. doi: 10.1007/s12262-017-1676-1. Epub 2017 Aug 5.

DOI:10.1007/s12262-017-1676-1
PMID:29089716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5653587/
Abstract

The authors report technical details of robotic bilioenteric reconstruction done for variable indications: choledochal cyst and biliary stricture. Robotic bilioenteric anastomosis as alternative to open reconstruction, offers advantages of minimal access surgery without compromising the precision of open surgery for hilar dissection and reconstruction. Both patients recovered uneventfully and remain symptom-free 18 and 15 months after surgery.

摘要

作者报告了针对不同适应症（胆总管囊肿和胆管狭窄）进行机器人辅助胆肠重建的技术细节。机器人辅助胆肠吻合术作为开放重建的替代方法，具有微创手术的优势，同时在肝门部解剖和重建方面不影响开放手术的精确性。两名患者术后恢复顺利，术后18个月和15个月时均无症状。

相似文献

1
Robotic Roux-en-Y Bilioenteric Reconstruction.机器人辅助 Roux-en-Y 胆肠重建术
Indian J Surg. 2017 Oct;79(5):475-478. doi: 10.1007/s12262-017-1676-1. Epub 2017 Aug 5.
2
Robotic assisted excision of type I choledochal cyst with Roux-en-y hepaticojejunostomy reconstruction.机器人辅助下I型胆总管囊肿切除并Roux-en-Y肝管空肠吻合术重建
Hepatobiliary Surg Nutr. 2017 Dec;6(6):397-400. doi: 10.21037/hbsn.2017.01.15.
3
Totally laparoscopic management of choledochal cyst: Roux-en-Y Jejunojejunostomy and wide hepaticojejunostomy with hilar ductoplasty.胆总管囊肿的完全腹腔镜治疗：Roux-en-Y空肠空肠吻合术及带肝门部胆管成形术的广泛肝管空肠吻合术
J Laparoendosc Adv Surg Tech A. 2011 May;21(4):361-6. doi: 10.1089/lap.2010.0373. Epub 2011 Apr 12.
4
Bilioenteric bypass stricture type II with hepatolithiasis: A case report.伴有肝内胆管结石的II型胆肠吻合口狭窄：一例报告
Ann Med Surg (Lond). 2020 Jul 11;57:353-357. doi: 10.1016/j.amsu.2020.07.011. eCollection 2020 Sep.
5
Robotic resection of choledochocele in an adult with intracorporeal hepaticojejunostomy and Roux-en-Y anastomosis: encouraging progress for robotic surgical treatment of biliary disease.成人胆总管囊肿的机器人切除术并体内肝空肠吻合术及Roux-en-Y吻合术：机器人手术治疗胆道疾病的鼓舞人心的进展
J Robot Surg. 2014 Mar;8(1):77-80. doi: 10.1007/s11701-012-0389-5. Epub 2012 Dec 27.
6
Totally laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy for choledochal cyst in adults: a single-institute experience of 5 years.成人胆总管囊肿的完全腹腔镜囊肿切除术及 Roux-en-Y 肝空肠吻合术：单机构 5 年经验
Surg Laparosc Endosc Percutan Tech. 2015 Apr;25(2):e65-8. doi: 10.1097/SLE.0000000000000091.
7
Hepaticojejunostomy using short-limb Roux-en-Y reconstruction.使用短肢 Roux-en-Y 重建的肝肠吻合术。
JAMA Surg. 2013 Mar;148(3):253-7; discussion 257-8. doi: 10.1001/jamasurg.2013.601.
8
Biliary reconstruction options for bile duct stricture in patients with prior Roux-en-Y reconstruction.既往 Roux-en-Y 重建术后胆管狭窄患者的胆管重建选择。
Surg Obes Relat Dis. 2017 Sep;13(9):1629-1634. doi: 10.1016/j.soard.2017.05.023. Epub 2017 May 25.
9
Robotic pancreaticoduodenectomy after open Roux-en-Y biliary-enteric anastomosis: Technical insights (with video).
Asian J Surg. 2024 Oct 19. doi: 10.1016/j.asjsur.2024.09.199.
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Biliary ascariasis after Roux-en-Y hepaticojejunostomy.Roux-en-Y肝空肠吻合术后的胆道蛔虫病。
J Pediatr Surg. 2000 Sep;35(9):1394-5. doi: 10.1053/jpsu.2000.9350.

引用本文的文献

1
Open injury, robotic repair-moving ahead! Total robotic Roux-en-Y hepaticojejunostomy for post-open cholecystectomy Bismuth type 2 biliary stricture using indocyanine green dye.开放性损伤，机器人修复——向前迈进！使用吲哚菁绿染料的全机器人 Roux-en-Y 肝空肠吻合术治疗开放性胆囊切除术后 Bismuth 2 型胆管狭窄。
J Minim Invasive Surg. 2023 Sep 15;26(3):151-154. doi: 10.7602/jmis.2023.26.3.151.
2
[Anastomotic techniques in minimally invasive hepatobiliopancreatic surgery].[微创肝胆胰手术中的吻合技术]
Chirurgie (Heidelb). 2023 Sep;94(9):775-779. doi: 10.1007/s00104-023-01901-1. Epub 2023 Jul 5.
3
Systematic review of perioperative and oncologic outcomes of minimally-invasive surgery for hilar cholangiocarcinoma.微创治疗肝门部胆管癌的围手术期和肿瘤学结局的系统评价。
Updates Surg. 2021 Apr;73(2):359-377. doi: 10.1007/s13304-021-01006-6. Epub 2021 Feb 22.

本文引用的文献

1
The Hepaticojejunostomy Technique with Intra-Anastomotic Stent in Biliary Diseases and Its Evolution throughout the Years: A Technical Analysis.胆道疾病中带吻合口内支架的肝空肠吻合术技术及其多年来的演变：技术分析
Gastroenterol Res Pract. 2016;2016:3692096. doi: 10.1155/2016/3692096. Epub 2016 Apr 13.
2
Robotic hepatobiliary and pancreatic surgery: a cohort study.机器人肝胆胰外科手术：一项队列研究。
J Hepatobiliary Pancreat Sci. 2011 Jul;18(4):471-80. doi: 10.1007/s00534-011-0389-2.
3
A case of robot-assisted excision of choledochal cyst, hepaticojejunostomy, and extracorporeal Roux-en-y anastomosis using the da Vinci surgical system.1例使用达芬奇手术系统进行机器人辅助胆总管囊肿切除、肝空肠吻合术及体外Roux-en-Y吻合术的病例。
Surg Laparosc Endosc Percutan Tech. 2007 Dec;17(6):538-41. doi: 10.1097/SLE.0b013e318150e57a.
4
Robotically assisted laparoscopic Roux-en-Y hepaticojejunostomy.机器人辅助腹腔镜下 Roux-en-Y 肝空肠吻合术
JSLS. 2004 Jul-Sep;8(3):239-44.
5
Long term results of Roux-en-Y hepaticojejunostomy.Roux-en-Y肝空肠吻合术的长期结果。
Surg Gynecol Obstet. 1978 Feb;146(2):161-7.