Digestive Health Institute of AdventHealth Tampa, FL, USA.
Am Surg. 2023 Apr;89(4):1309-1310. doi: 10.1177/0003134820956358. Epub 2021 Mar 31.
Minimally Invasive bile duct repair is an emerging modern technique in hepatobiliary surgery. Conventional laparoscopic technique had been sporadically reported by high volume surgeons as an alternative to open operation, however, the majority of those repairs were undertaken for biliary injury below the biliary bifurcation. Roux-en-Y Hepaticojejunostomy below the biliary bifurcation is technically much simpler to complete when compared to that above the hilar plate (high bile duct injury). The risk of long-term anastomotic stricture is also higher as bile duct caliber decreases. This is anatomically inherent as we travel further cranial beyond the hilar plate. In this multimedia article, we describe our minimally invasive technique for high bile duct injury repair using robotic technology.
微创胆管修复术是肝胆外科学中的一项新兴现代技术。传统的腹腔镜技术已被高容量外科医生零星报道为开放手术的替代方法，然而，大多数此类修复手术是针对胆管分叉以下的胆管损伤进行的。与肝门板（高位胆管损伤）相比，胆管分叉以下的 Roux-en-Y 肝肠吻合术在技术上更容易完成。由于胆管口径减小，长期吻合口狭窄的风险也更高。这是由于我们在肝门板之外向颅侧进一步行进时解剖结构所固有的。在这篇多媒体文章中，我们描述了使用机器人技术进行高位胆管损伤修复的微创技术。
