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Conference Paper: Roux-en-Y hepaticojejunostomy using 3D laparoscope

TitleRoux-en-Y hepaticojejunostomy using 3D laparoscope
Authors
Issue Date2017
PublisherEuropean-African Hepato-Pancreato-Biliary Association.
Citation
The 12th International Congress of the European-African Hepato-Pancreato-Biliary Association, Mainz, Germany. 23-26 May 2017 How to Cite?
AbstractBackground Biliary reconstruction is a common procedure for both benign disease (e.g. choledocholithiasis, choledochal cyst) as well as malignant biliary obstruction. However, it remains a challenging procedure when performed with laparoscopic approach. Methods We performed laparoscopic hepaticojejunostomy using 3D laparoscope for a 59-year old man who suffered from recurrent choledocholithiasis. This patient has history of laparoscopic cholecystectomy 2 years ago. Patient was placed in the supine position with legs apart and a 15◦ head up tilt. Five trocars of 5-12mm were used. Roux-en-Y hepaticojejunostomy was fashioned in a end-to-side manner with continuous suture. Results The operative time was 240 minutes and blood loss was 50ml. Patient was able to resume diet on postoperative day 2. Tubal drain was removed on day 3 and he was subsequently discharged on day 4. Conclusion Laparoscopic biliary reconstruction is technically demanding and the use of the 3D laparoscope could help to overcome some of the difficulties associated with the procedure.
Persistent Identifierhttp://hdl.handle.net/10722/243419

 

DC FieldValueLanguage
dc.contributor.authorDai, WC-
dc.contributor.authorCheung, TT-
dc.contributor.authorLo, CM-
dc.date.accessioned2017-08-25T02:54:35Z-
dc.date.available2017-08-25T02:54:35Z-
dc.date.issued2017-
dc.identifier.citationThe 12th International Congress of the European-African Hepato-Pancreato-Biliary Association, Mainz, Germany. 23-26 May 2017-
dc.identifier.urihttp://hdl.handle.net/10722/243419-
dc.description.abstractBackground Biliary reconstruction is a common procedure for both benign disease (e.g. choledocholithiasis, choledochal cyst) as well as malignant biliary obstruction. However, it remains a challenging procedure when performed with laparoscopic approach. Methods We performed laparoscopic hepaticojejunostomy using 3D laparoscope for a 59-year old man who suffered from recurrent choledocholithiasis. This patient has history of laparoscopic cholecystectomy 2 years ago. Patient was placed in the supine position with legs apart and a 15◦ head up tilt. Five trocars of 5-12mm were used. Roux-en-Y hepaticojejunostomy was fashioned in a end-to-side manner with continuous suture. Results The operative time was 240 minutes and blood loss was 50ml. Patient was able to resume diet on postoperative day 2. Tubal drain was removed on day 3 and he was subsequently discharged on day 4. Conclusion Laparoscopic biliary reconstruction is technically demanding and the use of the 3D laparoscope could help to overcome some of the difficulties associated with the procedure.-
dc.languageeng-
dc.publisherEuropean-African Hepato-Pancreato-Biliary Association.-
dc.relation.ispartofBook of Abstracts of the 12th International Congress of the European-African Hepato-Pancreato-Biliary Association-
dc.titleRoux-en-Y hepaticojejunostomy using 3D laparoscope-
dc.typeConference_Paper-
dc.identifier.emailDai, WC: daiwc@hku.hk-
dc.identifier.emailCheung, TT: cheung68@hku.hk-
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hk-
dc.identifier.authorityCheung, TT=rp02129-
dc.identifier.authorityLo, CM=rp00412-
dc.identifier.hkuros275045-
dc.publisher.placeMainz, Germany-

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