Outcomes of robot-assisted and laparoscopic hepaticojejunostomy, including in terms of surgeon workload

Background. Laparoscopic hepaticojejunostomy after iatrogenic injury of the common bile duct has advantages for patients compared to open surgery, but is difficult for surgeons, advanced operating time and complex manipulation. Robotic-assisted laparoscopic procedures after a 4-hour operating time resulted in significantly lower surgeon physical workload compared to laparoscopic. Objective. To present the outcomes of laparoscopic and robot-assisted laparoscopic hepaticojejunostomy in a comparative aspect. Material and methods. A comparative assessment of the intraoperative and postoperative results of laparoscopic and robot-assisted laparoscopic hepaticojejunostomy was carried out, including in terms of the surgeon’s workload. Results. After robot-assisted hepaticojejunostomy, the surgeon’s workload is significantly lower with equal intraoperative and postoperative results for patients. Conclusion. Laparoscopic robot-assisted hepaticojejunostomy is a safe and effective procedure for iatrogenic extrahepatic bile duct injury, significantly reducing the surgeon’s workload. More observations are needed to study early and late postoperative complications.