| 000 | 02814nam a22003617a 4500 | ||
|---|---|---|---|
| 008 | 220124s20212021 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a0003-4932 | ||
| 024 | _a00000658-900000000-93172 [pii] | ||
| 024 | _a10.1097/SLA.0000000000005303 [doi] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a34793343 | ||
| 245 | _aRobotic Hepaticojejunostomy for Late Anastomotic Biliary Stricture After Liver Transplantation: Technical Description and Case Series. | ||
| 251 | _aAnnals of Surgery. 2021 Nov 18 | ||
| 252 | _aAnn Surg. 2021 Nov 18 | ||
| 253 | _aAnnals of surgery | ||
| 260 | _c2021 | ||
| 260 | _fFY2022 | ||
| 260 | _p2021 Nov 18 | ||
| 265 | _saheadofprint | ||
| 266 | _d2022-01-25 | ||
| 501 | _aAvailable online through MWHC library: 1885 - present, Available in print through MWHC library: 1999 - 2006 | ||
| 520 | _aBiliary strictures after liver transplantation are common and when refractive to endoscopic and percutaneous intervention require surgical revision. Robotic technology facilitates minimally invasive biliary reconstruction and has not previously been described following liver transplantation. Robotic biliary revisions were retrospectively compared to all the historical open cases over a time period from May 2013 to October 2020. During the study period there were 3 robotic and 4 open surgical biliary revisions with a follow up of at least 6 months. All cases were hepaticojejunostomies for late choledochocholedochostomy anastomotic strictures presenting > 4 weeks after transplant and refractive to at least 3 endoscopic and/or percutaneous interventions. Median (range) case time was longer in the robotic group, 373 minutes (286-373) compared to open group, 280 minutes (163-321). The median length of stay was shorter in the robotic group, 4 days (1-4) compared to open group 7 days (4-10). Morbidity included 2 wound infections in the open group (grade II), 1 infected hematoma in the robotic group (grade IIIa) and 1 bile leak on the open group (grade IIIa). There was no biliary stricture recurrence or mortality in either group. Robotic biliary revision is a safe alternative to traditional open biliary revision for refractive biliary strictures after liver transplantation. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved. | ||
| 546 | _aEnglish | ||
| 650 | _aIN PROCESS -- NOT YET INDEXED | ||
| 651 | _aMedStar Washington Hospital Center | ||
| 656 | _aTransplant Surgery Fellowship | ||
| 657 | _aJournal Article | ||
| 700 | _aAguirre, Oswaldo | ||
| 700 | _aNguyen, Brian | ||
| 790 | _aAguirre O, Fishbein T, Girlanda R, Guerra F, Haddad N, Hawksworth J, Kroemer A, Nguyen B, Radkani P, Winslow E | ||
| 856 |
_uhttps://dx.doi.org/10.1097/SLA.0000000000005303 _zhttps://dx.doi.org/10.1097/SLA.0000000000005303 |
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| 942 |
_cART _dArticle |
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| 999 |
_c901 _d901 |
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