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Early experience of robotic surgery for type I congenital dilatation of the bile duct

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Abstract

Laparoscopic surgery for this disease is not widely spread due to difficulties in its procedure. We started a laparoscopic procedure for this disease since 2011, and the robotic surgery since 2012. The aim of this study is to assess early results of these procedures. We have operated seven cases from September 2011 through December 2013. First two cases were performed by laparoscopic procedure, and following cases were done by robotically assisted surgery. Of these cases, the perioperative outcome and short-term postoperative morbidity were evaluated. Their average age was 43.6 years old (20–64 years old), and male–female ratio was 2:5. Todani classification was type 1 in all cases. The operation time was 321 min in laparoscopic cases, while 489 min in robotic surgery cases. One case of robotic surgery developed postoperative intestinal obstruction of the biliary limb, requiring laparoscopic adhesiolysis. Pancreatic fistula and anastomotic leakage have not been observed. The robotic surgery for the congenital dilatation of the bile duct is feasible and is a theoretically useful option, especially for hepatico-jejunostomy. On the other hand, the limitation of energy devices, high running cost, and time consumption remain questionable.

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Acknowledgments

All procedures were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study. These surgeries were performed under the school fund of the Tohoku University Hospital.

Conflict of interest

Takeshi Naitoh, the first author, and all co-authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan

    Takeshi Naitoh, Takanori Morikawa, Naoki Tanaka, Takeshi Aoki, Hideo Ohtsuka, Takaho Okada, Naoaki Sakata, Shinobu Ohnuma, Kei Nakagawa, Hiroki Hayashi, Hiroaki Musha, Hiroshi Yoshida, Fuyuhiko Motoi, Yu Katayose & Michiaki Unno

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  1. Takeshi Naitoh
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  2. Takanori Morikawa
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  3. Naoki Tanaka
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  4. Takeshi Aoki
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  5. Hideo Ohtsuka
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  6. Takaho Okada
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  7. Naoaki Sakata
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  8. Shinobu Ohnuma
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  9. Kei Nakagawa
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  10. Hiroki Hayashi
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  11. Hiroaki Musha
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  12. Hiroshi Yoshida
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  13. Fuyuhiko Motoi
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  14. Yu Katayose
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  15. Michiaki Unno
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Correspondence to Takeshi Naitoh.

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Naitoh, T., Morikawa, T., Tanaka, N. et al. Early experience of robotic surgery for type I congenital dilatation of the bile duct. J Robotic Surg 9, 143–148 (2015). https://doi.org/10.1007/s11701-015-0504-5

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  • DOI: https://doi.org/10.1007/s11701-015-0504-5

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