J Minim Invasive Surg.  2016 Sep;19(3):115-116. 10.7602/jmis.2016.19.3.115.

Technical Compensation for Hepatic Vein Injury during Robotic Single Site Cholecystectomy

• Chong JU
• Jung MJ
• Kang CM

• KMID: 2351662
• DOI: http://doi.org/10.7602/jmis.2016.19.3.115

Abstract

This video describes an event that could occur during any cholecystectomy. To the best of our knowledge, this video is the first description of the technical compensation for hepatic vein injury during robotic single-site cholecystectomy (RSSC). A 61-year-old male with a 1.6 cm gallbladder stone sought to go through with RSSC. During dissection of gallbladder from the liver bed, the hepatic vein was unexpectedly exposed and injured. Using the angulated robotic needle holder, the injured hepatic vein was repaired with 5-0 prolene monofilament suture. Although there is a lack of EndoWrist movement in RSSC, suturing was feasible. The patient was discharged on the second postoperative day without complications. Incidental hepatic vein injury could be safely managed using RSSC and prevent the need for conversion to a conventional laparoscopic or open approach.

Keyword

Robotic surgical procedure; Intraoperative complications; Cholecystectomy

MeSH Terms

Cholecystectomy*
Compensation and Redress*
Gallbladder
Hepatic Veins*
Humans
Intraoperative Complications
Liver
Male
Middle Aged
Needles
Polypropylenes
Robotic Surgical Procedures
Sutures
Polypropylenes