Robot-assisted and fluorescence-guided remnant-cholecystectomy: a prospective dual-center cohort study.
HPB (Oxford)
; 25(7): 820-825, 2023 Jul.
Article
em En
| MEDLINE
| ID: mdl-37088643
ABSTRACT
BACKGROUND:
Abdominal symptoms after cholecystectomy may be caused by gallstones in a remnant gallbladder or a long cystic duct stump. Resection of a remnant gallbladder or cystic duct stump is associated with an increased risk of conversion and bile duct or vascular injuries. We prospectively investigated the additional value of robotic assistance and fluorescent bile duct illumination in redo biliary surgery.METHODS:
In this prospective two-centre observational cohort study, 28 patients were included with an indication for redo biliary surgery because of remnant stones in a remnant gallbladder or long cystic duct stump. Surgery was performed with the da Vinci X® and Xi® robotic system. The biliary tract was visualised in the fluorescence Firefly® mode shortly after intravenous injection of indocyanine green.RESULTS:
There were no conversions or perioperative complications, especially no vascular or bile duct injuries. Fluorescence-based illumination of the extrahepatic bile ducts was successful in all cases. Symptoms were resolved in 27 of 28 patients. Ten patients were treated in day care and 13 patients were discharged the day after surgery.CONCLUSION:
Robot-assisted fluorescence-guided surgery for remnant gallbladder or cystic duct stump resection is safe, effective and can be done in day-care setting.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Robótica
/
Cálculos Biliares
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Colecistectomia Laparoscópica
/
Ductos Biliares Extra-Hepáticos
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article