Innovative suture technique for robotic hepaticojejunostomy: double-layer interrupted sutures.
Biliary complications
Hepaticojejunostomy
Pancreatoduodenectomy
Robotic surgery
Journal
Langenbeck's archives of surgery
ISSN: 1435-2451
Titre abrégé: Langenbecks Arch Surg
Pays: Germany
ID NLM: 9808285
Informations de publication
Date de publication:
20 Jul 2023
20 Jul 2023
Historique:
received:
21
02
2023
accepted:
15
07
2023
medline:
21
7
2023
pubmed:
20
7
2023
entrez:
19
7
2023
Statut:
epublish
Résumé
Biliary reconstruction remains a technically demanding and complicated procedure in minimally invasive hepatopancreatobiliary surgeries. No optimal hepaticojejunostomy (HJ) technique has been demonstrated to be superior for preventing biliary complications. This study aimed to investigate the feasibility of our unique technique of posterior double-layer interrupted sutures in robotic HJ. We performed a retrospective analysis of a prospectively collected database. Forty-two patients who underwent robotic pancreatoduodenectomy using this technique between September 2020 and November 2022 at our center were reviewed. In the posterior double-layer interrupted technique, sutures were placed to bite the bile duct, posterior seromuscular layer of the jejunum, and full thickness of the jejunum. The median operative time was 410 (interquartile range [IQR], 388-478) min, and the median HJ time was 30 (IQR, 28-39) min. The median bile duct diameter was 7 (IQR, 6-10) mm. Of the 42 patients, one patient (2.4%) had grade B bile leakage. During the median follow-up of 12.6 months, one patient (2.4%) with bile leakage developed anastomotic stenosis. Perioperative mortality was not observed. A surgical video showing the posterior double-layer interrupted sutures in the robotic HJ is included. Posterior double-layer interrupted sutures in robotic HJ provided a simple and feasible method for biliary reconstruction with a low risk of biliary complications.
Identifiants
pubmed: 37468703
doi: 10.1007/s00423-023-03020-1
pii: 10.1007/s00423-023-03020-1
pmc: PMC10356881
doi:
Types de publication
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
284Subventions
Organisme : Japan Society for the Promotion of Science
ID : 21K16447
Informations de copyright
© 2023. The Author(s).
Références
J Hepatobiliary Pancreat Sci. 2018 Feb;25(2):142-149
pubmed: 29117639
Surgery. 2011 May;149(5):680-8
pubmed: 21316725
Hepatobiliary Pancreat Dis Int. 2019 Feb;18(1):67-72
pubmed: 30413347
Surgery. 2017 Mar;161(3):584-591
pubmed: 28040257
Surg Endosc. 2022 Jun;36(6):4518-4528
pubmed: 34799744
Surgery. 2007 Nov;142(5):761-8
pubmed: 17981197
J Pancreat Cancer. 2021 Dec 24;7(1):80-85
pubmed: 35024543
J Clin Med. 2023 Jan 16;12(2):
pubmed: 36675661
JAMA Surg. 2020 May 1;155(5):389-394
pubmed: 32129815
Front Surg. 2014 May 15;1:15
pubmed: 25593939
HPB (Oxford). 2020 Oct;22(10):1442-1449
pubmed: 32192850
J Hepatobiliary Pancreat Sci. 2016 Oct;23(10):628-635
pubmed: 27474880
Surg Today. 2021 Jul;51(7):1212-1219
pubmed: 33420821
Sci Rep. 2023 Apr 16;13(1):6190
pubmed: 37062774
J Clin Med. 2022 Nov 30;11(23):
pubmed: 36498684
HPB (Oxford). 2020 Mar;22(3):329-339
pubmed: 31676255
Updates Surg. 2021 Jun;73(3):909-922
pubmed: 33315230
Medicine (Baltimore). 2018 Nov;97(45):e13000
pubmed: 30407289
HPB (Oxford). 2021 Nov;23(11):1744-1750
pubmed: 33972135
World J Surg Oncol. 2021 Feb 19;19(1):55
pubmed: 33608019
J Hepatobiliary Pancreat Sci. 2020 Oct;27(10):785-788
pubmed: 32780540
J Visc Surg. 2019 Jun;156(3):185-190
pubmed: 30115586
Ann Surg. 2022 Dec 1;276(6):e886-e895
pubmed: 33534227
J Gastrointest Surg. 2007 May;11(5):555-61
pubmed: 17394045
BMC Surg. 2018 Oct 11;18(1):84
pubmed: 30309351
Surg Endosc. 2015 Dec;29(12):3698-711
pubmed: 25761559
Surg Endosc. 2019 Sep;33(9):2927-2933
pubmed: 30483970
Acta Med Okayama. 2016 Oct;70(5):363-370
pubmed: 27777428