Technical Compensation for Hepatic Vein Injury during Robotic Single Site Cholecystectomy
Journal of Minimally Invasive Surgery
;
: 115-116, 2016.
Article
in English
| WPRIM
| ID: wpr-76018
ABSTRACT
This video describes an event that could occur during any cholecystectomy. To the best of our knowledge, this video is the first description of the technical compensation for hepatic vein injury during robotic single-site cholecystectomy (RSSC). A 61-year-old male with a 1.6 cm gallbladder stone sought to go through with RSSC. During dissection of gallbladder from the liver bed, the hepatic vein was unexpectedly exposed and injured. Using the angulated robotic needle holder, the injured hepatic vein was repaired with 5-0 prolene monofilament suture. Although there is a lack of EndoWrist movement in RSSC, suturing was feasible. The patient was discharged on the second postoperative day without complications. Incidental hepatic vein injury could be safely managed using RSSC and prevent the need for conversion to a conventional laparoscopic or open approach.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polypropylenes
/
Sutures
/
Cholecystectomy
/
Compensation and Redress
/
Robotic Surgical Procedures
/
Gallbladder
/
Hepatic Veins
/
Intraoperative Complications
/
Liver
/
Needles
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of Minimally Invasive Surgery
Year:
2016
Type:
Article
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