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You are here: Home / Abstracts / Delayed Robotic Roux-en-Y Hepaticojejunostomy Repair of an Iatrogenic Type E Bile Duct Injury from prior Laparoscopic Cholecystectomy

Delayed Robotic Roux-en-Y Hepaticojejunostomy Repair of an Iatrogenic Type E Bile Duct Injury from prior Laparoscopic Cholecystectomy

Adel Alhaj Saleh, MD, MRCS, Edwin Onkendi, MBChB. Texas Tech University Health Sciences Center

34 year-old male s/p lap cholecystectomy at outside facility. Presented for high volume postoperative bile leak.

ERCP: bile leak close to bile duct hilum, stent was placed.

Laparoscopic washout was done for bile peritonitis

Patient presented six months later for with abdominal pain and deranged liver functions.

MRCP: hilar bile duct stricture

Robotic Roux-en-Y hepaticojejunostomy was done

The patient had an uneventful recovery postoperatively

Conclusion: Robotic approach facilitates minimally invasive repair of a complex high grade type E bile duct injury, with 360-degree articulation and 3-D visualization it also ensures a much better operative experience for the surgeon


This abstract was accepted for Exhibit Hall Video presentation at the 2020 SAGES Virtual Meeting in the Biliary topic. Its program number was: V028 and its Abstract ID was: 102798

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