Robot-Assisted Repair of E1 Biliary Ductal Injury with Roux-en-Y Hepaticojejunostomy

Subhashini Ayloo, Jacob Schwartzman

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Background: Common bile duct (CBD) injury is a serious complication of laparoscopic and open cholecystectomy. Early identification and minimally invasive repair, when possible, can prevent much of the morbidity associated with this injury. Materials and Methods: A 36-year-old woman referred in the immediate perioperative period for CBD injury at the time of laparoscopic cholecystectomy. We present a case of early robot-assisted repair of a Strasberg class E1 bile duct injury with Roux-en-Y hepaticojejunostomy. Results: Total console time of 4 hours with minimal blood loss and no requirement for transfusion with length of stay of 3 days. No intra-or perioperative complications of the surgery were noted. Conclusion: The degrees of freedom and stability of the robotic platform were instrumental during several key steps, including exposure of the hepatic hilum, positioning of the Roux limb, and suturing of the CBD. Successful minimally invasive repair of this patient's CBD injury minimized the morbidity of the index operation, blood loss, hospital length of stay, and potential legal consequences.

Original languageEnglish (US)
Pages (from-to)817-819
Number of pages3
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Issue number6
StatePublished - Jun 1 2019

All Science Journal Classification (ASJC) codes

  • Surgery


  • common bile duct injury
  • common bile duct transection
  • minimally invasive repair of common bile duct injury
  • robotic repair of common bile duct injury
  • surgical repair of common bile duct injury
  • technique of common bile duct injury repair


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