P.C. Giulianotti
SUMMARY: The pneumoperitoneum is induced with the Verres needle.
The abdominal exploration does not show carcinomatosis and liver metastases. An extensive adhesiolysis till complete exposition of the hepatic hilum is carried out laparoscopically and robotically. Identification and preparation of the jejuanl limb anastomosed with the pancreas and the common bile duct (the patient has undergone a Whipple procedure and developed a biliary stenosis). The bilio-enteric anastomosis is taken down and sent for frozen section (negative for malignancy).
The termino-laterl hepaticojejunostomy is completed with PDS 4.0 – posterior running and anterior interrupted suture -.
P. Addeo
SUMMARY
Major liver resections still represent a technical challenge for minimally invasive surgery. This presentation describes the intra and postoperative outcomes of one of the larger series of robotic major liver resections. The encouraging results obtained with the robotic approach for major liver resection in term of conversion rate
F. Elli
Background/Hypothesis
Common bile duct (CBD) injuries represent the most important complication of laparoscopic cholecystectomy. A robotic
repair of iatrogenic CBD injury is showed in this video.
Materials & Methods
A 20 year old patient underwent a laparoscopic cholecystectomy for symptomatic gallstones and discharged home the same
day. She returned to the hospital 48 hours after surgery complaining
of abdominal pain. A CT scan performed showed a large abdominal fluid collection compatible with a biloma. An ERCP
showed an interruption of the bile duct with contrast extravasation.
