Da Vinci Roboti-Assisted Surgical Treatment of Complex Hepatolithiasis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

Fang Jingjing ¹ , Ding lei ² , Xie jingwei ² , Zhou Ningxin. ³

1. Institute of Hepatobiliary and Gastrointestinal Surgery， General Hospital of the Second Artillery Corps of Chinese PLA affiliated to Soochow University， Beijing 100088， China;;
2. Licentiate Training Base for Liaoning Medical College， General Hospital of the Second Artillery Corps of Chinese PLA， Beijing 100088， China;;
3. Institute of Hepatobiliary and Gastrointestinal Surgery， General Hospital of the Second Artillery Corps of Chinese PLA， Beijing 100088， China;

Corresponding author：

Keywords：

Da Vinci surgical system; Complex hepatolithiasis; Minimally invasive surgical procedure

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Objective 　To discuss the effect and prognosis of the Da Vinci surgical system assisted surgical treatment for complex hepatolithiasis.
Methods 　The clinical data of 15 patients with complex calculus of intraheoatic duct who accepted surgical therapy at General Hospital of the Second Artillery Corps of PLA from January 2009 to August 2011 were analyzed retrospectively.
Results 　All operations of 15 patients were performed successfully, no case of converting to laparotomy， no injury of the important blood vessels and organs in surgical procedures. Postoperative complications occurred in 4 cases （26.7%）. Among them, there were 1 case （6.7%） of hemobilia, 1 case （6.7%） of lung infection, 2 cases （13.3%） of liver surface bleeding, and no case of death and liver failure occurred during the perioperative period. All patients （100%） had follow-up visited with a median time of 11 months （ranging from 3 months to 2 years）, 12 cases （80.0%） acquired good curative effect, 3 cases （20.0%） of residual stones were found, 1 case （6.7%） of recurrence stones were found.
Conclusion 　There are enormous potential for Da Vinci surgical system assisted surgical treatment of complex hepatolithiasis, which can be used in elderly patients，and patients with multiple surgical history, poor liver function, acute cholangitis, and so on.

Citation： Fang Jingjing,Ding lei,Xie jingwei,Zhou Ningxin.. Da Vinci Roboti-Assisted Surgical Treatment of Complex Hepatolithiasis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(6): 632-635. doi: Copy

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14.	董家鸿，黄志强，蔡景修，等. 规则性肝段切除术治疗肝内胆管结石病 [J]. 中华普通外科杂志， 2002， 17(7)：418-419.
15.	Hwang S， Lee SG， Kim MH， et al. Intaoperative biliary expliration through the left hepatic duct orifice during left hepatectomy in patients with left-sided hepatolithiasis [J]. Langenbecks Arch Surg， 2007， 393(3)：383-389.
16.	Uchiyama K， Kawai M， Ueno M， et al. Reducing residual and recurrent stones by hepatectomy for hepatolithiasis [J]. J Gastrointest Surg， 2007， 11(5)：626-630.
17.	Vetrone G， Ercolani G， Grazi GL， et al. Surgical therapy for hepatolithiasis：a western experience[J]. J Am Coll Surg，2006， 202(2)：306-312.
18.	Lee TY， Chen YL， Chang HC， et al. Outcomes of hepatectomy for hepatolithiasis [J]. Word J Surg， 2007， 31(3)：479-482.
19.	Lee SE， Jang JY， Lee JM， et al. Selection of appropriate liver resection in left hepatolithiasis based on anatomic and clinical study [J]. Word J Surg， 2008， 32(3)：413-418.
20.	付顺军，李绍强，梁力健，等. 肝切除术治疗肝内胆管结石术后发生并发症的危险因素分析 [J]. 中华肝胆外科杂志，2010， 16(5)：325-327.
21.	Karayiannakis AJ， Polychronidis A， Perente S， et al. Laparoscopic cholecystectomy in patients with previous upper or lower abdominal surgery [J]. Sury Endosc， 2004， 18(1)：97-101.
22.	Akyurek N， Salman B， Irkorucu O， et al. Laparoscopic cholecystectomy in patients with previous abdominal surgery [J].JSLS， 2005， 9(2)：178-183.
23.	周宁新，刘全达. 达芬奇系统在腹部外科的应用 [J]. 腹部外科， 2009， 22(5)：261-262.
24.	Hashizume M， Tsugawa K. Robotic surgery and cancer：the present state， problems and future vision [J]. Jpn J Clin， 2004，34(5)：227-237.
25.	Camarillo DB， Krummel TM， Salisbury JK Jr. Robotic technology in surgery：past， present， and future [J]. Am J Surg， 2004，188(4A Suppl)：2S-15S.

1. Choi SB， Park JS， Kim JK， et al. Early experiences of roboticassisted laparoscopic liver resection [J]. Yonsei Med J， 2008，49(4)：632-638.
2. Herron DM， Marohn M，SAGES-MIRA Robotic Surgery Consesus Group. A consensus document on robotic surgery [J]. Surg Endose， 2008， 22(2)：313-315.
3. Ballantyne GH. Robotic surgery telerobotic surgery， telepresense，and telementoring [J]. Surg Endose， 2002， 16(10)：1389-1402.
4. Murphy DG， Hall R， Tong R， et al. Robotic technology in surgery：current status in 2008 [J]. ANZ J Surg，2008， 78(12)：1076-1081.
5. Lanfranco AR， Castellanos AE， Desai JP， et al. Robotic surgery：a current perspective [J] . Ann Surg， 2004， 239(1)：14-21.
6. Huang CJ， Lin PW. Pole of right bepatic lebectomy in the treatment of isolated right-sided hepatolithiasia [J]. Surgery， 2007，121(2)：130-134.
7. Cheung MT， Kwok PC. Liver resection for intraheoatic stones [J]. Arch Surg， 2005， 140(10)：993-997.
8. Sun WB， Han BL，Cai JX， et al. The surgical treatment of leftsided hepatolithiasis：a 22-year expericence [J]. Surgery，2000， 127(5)：493-497.
9. 黄志强. 医源性胆管狭窄：胆道外科之痛 [J]. 中华消化外科杂志， 2008， 7(1)：1-5.
10. 黄志强. 肝内胆管结石的外科治疗进展 [J]. 中国实用外科学杂志， 2004， 24(2)：181.
11. Lazaridis C， Papaziogas B， Alexandrakis A， et al. Intrahepatic lithiasis as a late complication of hepaticojejunostomy [J]. Surg Endosc， 2003， 17(4)：661.
12. Okugawa T， Tsuyuguchi T， Ando T， et al. Peroral cholangioscopic treatment of hepatolithiasis：long-term result [J]. Gastroinest Endose， 2002， 56(3)：366-371.
13. Nadler RB， Rubenstein JN， Kim SC， et al. Percutaneous hepatolithotomy：the Northwestern University experience [J]. J Endourol， 2002， 16(5)：293-297.
14. 董家鸿，黄志强，蔡景修，等. 规则性肝段切除术治疗肝内胆管结石病 [J]. 中华普通外科杂志， 2002， 17(7)：418-419.
15. Hwang S， Lee SG， Kim MH， et al. Intaoperative biliary expliration through the left hepatic duct orifice during left hepatectomy in patients with left-sided hepatolithiasis [J]. Langenbecks Arch Surg， 2007， 393(3)：383-389.
16. Uchiyama K， Kawai M， Ueno M， et al. Reducing residual and recurrent stones by hepatectomy for hepatolithiasis [J]. J Gastrointest Surg， 2007， 11(5)：626-630.
17. Vetrone G， Ercolani G， Grazi GL， et al. Surgical therapy for hepatolithiasis：a western experience[J]. J Am Coll Surg，2006， 202(2)：306-312.
18. Lee TY， Chen YL， Chang HC， et al. Outcomes of hepatectomy for hepatolithiasis [J]. Word J Surg， 2007， 31(3)：479-482.
19. Lee SE， Jang JY， Lee JM， et al. Selection of appropriate liver resection in left hepatolithiasis based on anatomic and clinical study [J]. Word J Surg， 2008， 32(3)：413-418.
20. 付顺军，李绍强，梁力健，等. 肝切除术治疗肝内胆管结石术后发生并发症的危险因素分析 [J]. 中华肝胆外科杂志，2010， 16(5)：325-327.
21. Karayiannakis AJ， Polychronidis A， Perente S， et al. Laparoscopic cholecystectomy in patients with previous upper or lower abdominal surgery [J]. Sury Endosc， 2004， 18(1)：97-101.
22. Akyurek N， Salman B， Irkorucu O， et al. Laparoscopic cholecystectomy in patients with previous abdominal surgery [J].JSLS， 2005， 9(2)：178-183.
23. 周宁新，刘全达. 达芬奇系统在腹部外科的应用 [J]. 腹部外科， 2009， 22(5)：261-262.
24. Hashizume M， Tsugawa K. Robotic surgery and cancer：the present state， problems and future vision [J]. Jpn J Clin， 2004，34(5)：227-237.
25. Camarillo DB， Krummel TM， Salisbury JK Jr. Robotic technology in surgery：past， present， and future [J]. Am J Surg， 2004，188(4A Suppl)：2S-15S.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Da Vinci Roboti-Assisted Surgical Treatment of Complex Hepatolithiasis

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