Machado MA, Ardengh AO, Makdissi FF

Arq Gastroenterol

Robotic Roux-en-Y hepaticojejunostomy for primary intrahepatic lithiasis after laparoscopic right hepatectomy

Minimally invasive surgery has gained increasing acceptance
in recent years, expanding to hepatobiliary procedures. The
laparoscopic route is already considered viable, safe and effective.
However, the applicability of this technique is still restricted to
centers with enhanced resources and greater surgical volume.
Robotic system provides a good opportunity to perform these challenging
procedures in the minimally invasive context and expand
its use to a larger number of surgeons. Robotic hepaticojejunostomy
has been more commonly used during reconstruction after
pancreatoduodenectomy. This video shows a robotic Roux-en-Y
hepaticojejunostomy in a patient with primary intrahepatic lithiasis
and previous laparoscopic right hepatectomy.