Project description:PurposeBiliary 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.MethodsWe 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.ResultsThe 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.ConclusionsPosterior double-layer interrupted sutures in robotic HJ provided a simple and feasible method for biliary reconstruction with a low risk of biliary complications.

| S-EPMC10356881 | biostudies-literature

EUS-Guided hepaticogastrostomy in a pregnant patient with Roux-en-Y hepaticojejunostomy anatomy

Project description:Video Video 1 EUS-Guided hepaticogastrostomy in a pregnant patient with Roux-en-Y hepaticojejunostomy anatomy.

| S-EPMC9415846 | biostudies-literature

Natural orifice transluminal endoscopic surgery salvage of direct EUS-guided gastrojejunostomy.

Project description: Not available

| S-EPMC6003277 | biostudies-literature

EUS-guided hepaticojejunostomy using a 22G needle and novel 0.018-inch guidewire (with video).

Project description: Not available

| S-EPMC9921985 | biostudies-literature

Intrahepatic bile duct stone removal using peroral transluminal cholangioscopy (with videos).

Project description: Not available

| S-EPMC6482604 | biostudies-literature

Elective symptomatic gallbladder stone treatment by EUS (with video).

Project description: Not available

| S-EPMC10237598 | biostudies-literature

EUS-guided hepaticogastrostomy for management of cholangitis, hepatolithiasis, and anastomotic stricture after Roux-en-Y hepaticojejunostomy.

Project description:Video 1EUS-guided hepaticogastrostomy for management of cholangitis, hepatolithiasis, and anastomotic stricture after Roux-en-Y hepaticojejunostomy.

| S-EPMC8117964 | biostudies-literature

Fine-gauge balloon-assisted stent removal technique for ruptured EUS-guided hepaticojejunostomy plastic stents (with video).

Project description: Not available

| S-EPMC7279081 | biostudies-literature

Snare over-the-basket wire technique for common hepatic duct stone extraction.

Project description: Not available

| S-EPMC7426622 | biostudies-literature