Abstract

JIMENEZ-CHAVARRIA, Enrique; GOMEZ-RAMIREZ, José Oscar; CASTELLANOS-PEREZ, Julio Cesar  and  MARTINEZ-CUAZITL, Adriana. Robotic-Assisted vs open technique Hepaticojejunostomy in a third level Hospital. Rev. sanid. mil. [online]. 2022, vol.76, n.2, e01.  Epub Feb 03, 2023. ISSN 0301-696X.  https://doi.org/10.56443/rsm.v76i2.207.

Despite the scientific evidence of safety, the efficacy of robotic surgery, there are few publications on bile duct repair.

The main objective of this study was to evaluate the results of Robotic-assisted Hepaticojejunostomy (RHJ) versus open Hepaticoyejunostomy (OHJ) in the HCM during the period from January 2012 to January 2019.

This is a retrospective study, database of patients was collected: sociodemographic data, the main comorbidities, and the main surgical indication of hepaticojejunostomy were determined. They were grouped according to the surgical indication to compare: transoperative bleeding, surgical time, hospital length of stay and morbidity RHJ vs. OHJ.

Seventy-eight hepaticojejunostomies were registered (31 RHJ and 47 OHJ), the average age was 55.2 ± 17.7 years, predominantly female, the main comorbidity was arterial hypertension. The main surgical indication of hepaticoyeynostomy was bile duct disruption. Shorter surgical time, days of hospitalization, and morbidity were found in patients undergoing RHJ than patients treated with OHJ.

Keywords : Robotic surgery; hepaticojejunostomy; bile duct disruption.

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