Preventive strategies for perioperative complications of robotic radical surgery for hilar cholangiocarcinoma
10.3760/cma.j.cn113884-20240516-00147
- VernacularTitle:机器人肝门部胆管癌根治术围手术期并发症的预防
- Author:
Weibo CHEN
1
;
Guodong ZHAO
Author Information
1. 苏州大学附属第三医院肝胆胰外科，常州 213003
- Keywords:
Klatskin tumor;
Robotic surgery;
Complications;
Prevention
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(9):699-702
- CountryChina
- Language:Chinese
-
Abstract:
Surgery for hilar cholangiocarcinoma remains technically demanding, which involves liver resection, lymph node dissection, bile duct plasty, and high-site biliojejunostomy, often with a high complication rate. Robotic radical resection of hilar cholangiocarcinoma has been practiced in selected patients in some experienced hands. Compared with traditional open surgery, the types and incidence of postoperative complications of robot surgery for hilar cholangiocarcinoma are different. Based on the current case series and a literature review, we analyzed the complications of robot-assisted surgery for hilar cholangiocarcinoma, and discusses the prevention strategy of six types of complications, including complications related to: preoperative evaluation and preparement, liver resection, lymph node dissection and vascular procedure, high-site bile-jejunum anastomosis, tumor radical resection, and long-term biliary-related complications. We aim to provide some technical reference for surgeons in the future practice of robot-assisted radical resection for hilar cholangiocarcinoma.
