Innovative suture technique for robotic hepaticojejunostomy: double-layer interrupted sutures.

ABSTRACT:

Purpose

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.

Methods

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 fu

SUBMITTER: Takagi K 

PROVIDER: S-EPMC10356881 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature