Performing the Difficult Cholecystectomy Using Combined Endoscopic and Robotic Techniques: How I Do It
Autor: | Deepa Magge, Stephanie Novak, Adam Slivka, Amer H. Zureikat, Jennifer Steve, Mellissa Hogg, Herbert J. Zeh |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Biliary Fistula Fistula Partial cholecystectomy medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Cholelithiasis Mirizzi Syndrome medicine Humans Cholecystectomy Endoscopy Digestive System Laparoscopic cholecystectomy Gangrenous cholecystitis Common bile duct business.industry General surgery Gastroenterology medicine.disease Surgery medicine.anatomical_structure Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Cholecystitis 030211 gastroenterology & hepatology business |
Zdroj: | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. 21(3) |
ISSN: | 1873-4626 |
Popis: | Laparoscopic cholecystectomy is the standard of care for cholelithiasis as well as cholecystitis. However, in the setting of Mirizzi syndrome or gangrenous cholecystitis where the critical view cannot be ascertained, subtotal cholecystectomy may be necessary. Using the robot-assisted approach, difficult cholecystectomies can be performed upfront without need for partial cholecystectomy. Even in the setting of Mirizzi syndrome where severe scarring and fibrosis are evident, definitive cholecystectomy and takedown of the cholechystocholedochal fistula can be performed in a safe and feasible fashion following successful endoscopic common bile duct stent placement. The purposes of this report are to review the history of Mirizzi syndrome as well as its traditional and novel treatment techniques and highlight technical pearls of the robotic approach to this diagnosis. |
Databáze: | OpenAIRE |
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