Technical Compensation for Hepatic Vein Injury during Robotic Single Site Cholecystectomy.
10.7602/jmis.2016.19.3.115
- Author:
Jae Uk CHONG
1
;
Myung Jae JUNG
;
Chang Moo KANG
Author Information
1. Department of Hepatobiliary and Pancreatic Surgery, Yonsei University College of Medicine, Seoul, Korea. cmkang@yuhs.ac
- Publication Type:Case Report
- Keywords:
Robotic surgical procedure;
Intraoperative complications;
Cholecystectomy
- MeSH:
Cholecystectomy*;
Compensation and Redress*;
Gallbladder;
Hepatic Veins*;
Humans;
Intraoperative Complications;
Liver;
Male;
Middle Aged;
Needles;
Polypropylenes;
Robotic Surgical Procedures;
Sutures
- From:Journal of Minimally Invasive Surgery
2016;19(3):115-116
- CountryRepublic of Korea
- Language:English
-
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.
