{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T19:40:59Z","timestamp":1774726859422,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T00:00:00Z","timestamp":1702425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Benign biliary disease (BBD) is a prevalent condition involving patients who require extrahepatic bile duct resections and reconstructions due to nonmalignant causes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study followed all patients who underwent biliary resections for BBD between 2015 and 2023. We excluded those with malignant conditions and patients who had an \u2018open\u2019 operation. Based on the patient's anatomy, the procedures employed were either robotic Roux\u2010en\u2010Y hepaticojejunostomy (RYHJ) or robotic choledochoduodenostomy (CDD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From the 33 patients studied, 23 were female, and 10 were male. Anesthesiology (ASA) class was 3\u00a0\u00b1\u00a00.5; the MELD score was 9\u00a0\u00b1\u00a04.1; the Child\u2010Pugh score was 6\u00a0\u00b1\u00a01.7. The primary indications for undergoing the operation included iatrogenic bile duct injuries, biliary strictures, and type 1 choledochal cysts. The average surgical duration was about 272\u00a0min, and the average blood loss amounted to 79\u00a0mL. Postoperatively, three patients experienced major complications, all attributed to anastomotic leaks. The average hospital stay was 4\u00a0days, with a readmission rate of 15% within 30\u00a0days. During an average follow\u2010up period of 33\u00a0months, one patient had to undergo a revision at 18\u00a0months due to stricture. This necessitated further duct resection and reanastomosis. Notably, there were no reported hepatectomies, no conversion to the \u2018open\u2019 method, no intraoperative complications, and no mortalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Robotic extrahepatic bile duct resection and reconstruction with Roux\u2010en\u2010Y hepaticojejunostomy or choledochoduodenostomy is safe with an acceptable postoperative morbidity, short hospital length of stay, and low postoperative stricture rate at intermediate duration follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12027","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T16:13:42Z","timestamp":1702916022000},"page":"203-210","source":"Crossref","is-referenced-by-count":4,"title":["The robotic\u2010assisted laparoscopic approach to biliary tract resection and reconstruction for benign indications: A single\u2010center experience"],"prefix":"10.1002","volume":"48","author":[{"given":"Shlomi","family":"Rayman","sequence":"first","affiliation":[{"name":"Digestive Health Institute AdventHealth Tampa  Tampa Florida USA"},{"name":"Department of General Surgery Assuta Ashdod Public Hospital  Ashdod Israel"},{"name":"Faculty of Health and Science Ben\u2010Gurion University  Beer\u2010Sheba Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1056-3440","authenticated-orcid":false,"given":"Sharona B.","family":"Ross","sequence":"additional","affiliation":[{"name":"Digestive Health Institute AdventHealth Tampa  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tara M.","family":"Pattilachan","sequence":"additional","affiliation":[{"name":"Digestive Health Institute AdventHealth Tampa  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Christodoulou","sequence":"additional","affiliation":[{"name":"Digestive Health Institute AdventHealth Tampa  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Rosemurgy","sequence":"additional","affiliation":[{"name":"Digestive Health Institute AdventHealth Tampa  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2167-3215","authenticated-orcid":false,"given":"Iswanto","family":"Sucandy","sequence":"additional","affiliation":[{"name":"Digestive Health Institute AdventHealth Tampa  Tampa Florida 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