Name: Intraoperatief videoconsult na galwegdoorsnijding vergemakkelijkt directe OR-overdracht voor robotische hepaticojejunostomie in het tertiair centrum (Video) | JoVE Journal
Uploaded: 2026-01-09T14:05:00.000+00:00
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Description: Leer hoe intraoperatief videoconsult chirurgen helpt bij directe besluitvorming bij galwegletsel. Deze methode verbetert samenwerking tussen regionale en academische centra en versnelt patiëntenzorg.

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<li>Rystedt, J. M. L., Montgomery, A. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Quality-of-life+after+bile+duct+injury%3A+intraoperative+detection+is+crucial.+A+national+case-control+study%5BTitle%5D)+AND+%22HPB%22%5BJournal%5D)">Quality-of-life after bile duct injury: intraoperative detection is crucial. A national case-control study.</a> HPB. 18 (12), 1010-1016 (2016).</li>
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<li>Brown, J. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Video+review+reveals+technical+factors+predictive+of+biliary+stricture+and+cholangitis+after+robotic+pancreaticoduodenectomy%5BTitle%5D)+AND+%22HPB+%28Oxford%29%22%5BJournal%5D)">Video review reveals technical factors predictive of biliary stricture and cholangitis after robotic pancreaticoduodenectomy.</a> HPB (Oxford). 23 (1), 144-153 (2021).</li>
<li>Hajibandeh, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Meta-analysis+of+interrupted+versus+continuous+suturing+for+Roux-en-Y+hepaticojejunostomy+and+duct-to-duct+choledochocholedochostomy%5BTitle%5D)+AND+%22Arch+Surg%22%5BJournal%5D)">Meta-analysis of interrupted versus continuous suturing for Roux-en-Y hepaticojejunostomy and duct-to-duct choledochocholedochostomy.</a> Arch Surg. 407 (5), 1817-1829 (2022).</li>
<li>Brunner, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Continuous+or+interrupted+suture+for+hepaticojejunostomy+in+pancreaticoduodenectomy+%28The+HEKTIK+Trial%29%3A+findings+of+a+randomized%2C+controlled%2C+single-center+superiority+trial%5BTitle%5D)+AND+%22Dtsch+Arztebl%22%5BJournal%5D)">Continuous or interrupted suture for hepaticojejunostomy in pancreaticoduodenectomy (The HEKTIK Trial): findings of a randomized, controlled, single-center superiority trial.</a> Dtsch Arztebl. 121 (21), 696-702 (2024).</li>
<li>Yadav, T. N., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Continuous+versus+interrupted+anastomotic+technique+for+the+hepaticojejunostomy%3A+a+prospective+cohort+study%5BTitle%5D)+AND+%22Ann+Med+Surg+%28Lond%29%22%5BJournal%5D)">Continuous versus interrupted anastomotic technique for the hepaticojejunostomy: a prospective cohort study.</a> Ann Med Surg (Lond). 86 (4), 1950-1955 (2024).</li>
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</ol>

<table><tbody><tr><td>#1 Vicryl Suture</td><td>Medtronic</td><td>CL-64-M</td><td></td></tr><tr><td>0 Vicryl Ties</td><td>Ethicon</td><td>J646H</td><td></td></tr><tr><td>2-0 Silk Suture - Cut to 8"</td><td>Ethicon</td><td>K833-H</td><td></td></tr><tr><td>3-0 V-LOC V-20 6" x 3</td><td>Covidien</td><td>VLOCM0604</td><td></td></tr><tr><td>4-0 Monocryl</td><td>Ethicon</td><td>Y496G</td><td></td></tr><tr><td>4-0 Prolene on RB 1</td><td>Ethicon</td><td>8557H</td><td></td></tr><tr><td>4-0 V-Loc CV-23 6" x2</td><td>Covidien</td><td>VLOCM0024</td><td></td></tr><tr><td>5-0 Polydioxanone RB-2 Cut to 5"</td><td>Ethicon</td><td>Z148-H</td><td></td></tr><tr><td>Banded bag 28" x 36"</td><td>McKesson</td><td>13628</td><td>Cover non-sterile equipment in sterle field</td></tr><tr><td>BD ChloraPrep Hi-Lite Orange 26-mL applicator with sterile solution</td><td>BD (Becton, Dickinsone and Company)</td><td>930815</td><td>Sterile Chlorhexidine preparation</td></tr><tr><td>Bladeless optical trocar, 5 mm size, 100 mm length</td><td>Covidien</td><td>ONB5STF</td><td></td></tr><tr><td>Bladeless Trocar, 12 mm size, 100 mm length</td><td>Covidien</td><td>NONB12STF</td><td></td></tr><tr><td>Bladeless Trocar, 15 mm size, 100 mm length</td><td>Covidien</td><td>NB15STF</td><td></td></tr><tr><td>Bladeless Trocar, 5 mm size, 100 mm length</td><td>Covidien</td><td>NONB5STF</td><td></td></tr><tr><td>BLAKE Silicone Drain, Size 19 Fr, Round</td><td>Ethicon</td><td>2232</td><td>Abdominal drain</td></tr><tr><td>Cadiere</td><td>Intuitive Surgical</td><td>471049</td><td></td></tr><tr><td>Clean and protect laparoscope lense</td><td>McKesson</td><td>21345</td><td></td></tr><tr><td>Coaxial umbilical cable</td><td>Medtronic</td><td>203CXC</td><td></td></tr><tr><td>Da Vinci XI Arm Drape</td><td>Intuitive Surgical</td><td>470015</td><td>Sterile drape for robotic arms</td></tr><tr><td>Da Vinci XI Column Drape</td><td>Intuitive Surgical</td><td>470341</td><td>Sterile drape for bedside robot</td></tr><tr><td>Da Vinci XI Universal Seal 5-12 mm</td><td>Intuitive Surgical</td><td>470500</td><td>Robotic Trocar seal</td></tr><tr><td>Endo Floating Ball Electrodes</td><td>Medtronic</td><td>122011</td><td>Monopolar electrocautery device</td></tr><tr><td>Endo GIA Ultra Universal Stapler</td><td>Covidien</td><td>EGIAUXL</td><td>Laparoscopic stapler</td></tr><tr><td>Endoscopic surgery swab</td><td>Covidien</td><td>173019</td><td>Swab fluid and assist with blunt dissection</td></tr><tr><td>Exofin Skin Adhesive</td><td>McKesson</td><td>EX71010</td><td>Skin glue</td></tr><tr><td>Fenestrated Bipolar</td><td>Intuitive Surgical</td><td>471205</td><td></td></tr><tr><td>First Entry Access System, 5 x 100 mm</td><td>Applied Medical</td><td>CTF03</td><td></td></tr><tr><td>Garment compress Medium, Calf</td><td>Zimmer Biomet</td><td>VG501M</td><td>Sequential compression device applied to calves for deep venous thrombosis prophylaxis</td></tr><tr><td>Hook electrocautery</td><td>Intuitive Surgical</td><td>470183</td><td></td></tr><tr><td>Jackson-Pratt bulb reservoir 100 cc</td><td>McKesson</td><td>SU1301305</td><td>Drainage suction bulb reservoir</td></tr><tr><td>Laparoscopic Blade Electrode, 6.5"</td><td>Coviden</td><td>E14506</td><td>Laparoscopic electrocautery blade</td></tr><tr><td>Laparoscopic Clip applier 10mm</td><td>Covidien</td><td>176657</td><td>Laparoscopic clip applier</td></tr><tr><td>Laparoscopic Clip applier 5mm</td><td>Covidien</td><td>176630</td><td>Laparoscopic clip applier</td></tr><tr><td>Laparoscopic electrode Flat L-hook</td><td>Covidien</td><td>E3774-36C</td><td>Laparoscopic electrocautery hook</td></tr><tr><td>Laparoscopic sealer/divider, Maryland, curved Jaw</td><td>Covidien</td><td>LF1944</td><td></td></tr><tr><td>Laparotomy sponge, 4" x 18", X-ray and RF-Detectable</td><td>Medtronic</td><td>L041804P01C1</td><td></td></tr><tr><td>Large needle driver</td><td>Intuitive Surgical</td><td>471006</td><td></td></tr><tr><td>Large SutureCut needle driver</td><td>Intuitive Surgical</td><td>471296</td><td></td></tr><tr><td>Maryland Bipolar</td><td>Intuitive Surgical</td><td>471172</td><td></td></tr><tr><td>Monopolar Curved scissor tip cover accessory</td><td>Intuitive Surgical</td><td>400180</td><td></td></tr><tr><td>Monopolar curved scissors</td><td>Intuitive Surgical</td><td>470179</td><td></td></tr><tr><td>Optical Obturator, 8mm, bladeless</td><td>Intuitive Surgical</td><td>470359</td><td>Obturator for placement of robotic trocar</td></tr><tr><td>OR Fluid warming drape</td><td>Medline</td><td>SDREC44</td><td></td></tr><tr><td>Pneumoclear smoke evacuation tube set</td><td>STRYKER</td><td>620050350</td><td>Smoke evacuator tubing</td></tr><tr><td>Prograsp</td><td>Intuitive Surgical</td><td>471093</td><td></td></tr><tr><td>Skin Stapler</td><td>Covidien</td><td>8886803712</td><td>Skin stapler</td></tr><tr><td>Small grasping forcep</td><td>Intuitive Surgical</td><td>471400</td><td></td></tr><tr><td>Smoke MGMT EXTD Nozzle for 4in electrode</td><td>Medtronic</td><td>VSMEN4</td><td>Electrocautery pencil with smoke evacuation</td></tr><tr><td>Smoke pencil with edge electrode 10 Ft</td><td>Medtronic</td><td>VSMP10</td><td>Electrode for electrocautery</td></tr><tr><td>Stapler reload, 60 mm, reinforced</td><td>Covidien</td><td>SIGTRSB60AXT</td><td></td></tr><tr><td>Step insufflation/access needle, 100 mm</td><td>Covidien</td><td>S100000</td><td>Laparoscopic blunt tip access needle</td></tr><tr><td>Sterile surgical Leggings 31" W X 48" L</td><td>McKesson</td><td>89408</td><td></td></tr><tr><td>Sterile table Drape, 4'</td><td>Grayline Medical</td><td>418HDS</td><td></td></tr><tr><td>Suction irrigation system, battery operated</td><td>McKesson</td><td>250070520</td><td></td></tr><tr><td>Suction tube handle, Bulb tip Yankauer</td><td>McKesson</td><td>K86</td><td>Yankauer Suction handle</td></tr><tr><td>Suction Tubing 20 FT, 9/32 inch</td><td>McKesson</td><td>N720A</td><td>Suction tubing</td></tr><tr><td>Surgical Gown</td><td>McKesson</td><td>41734</td><td></td></tr><tr><td>Surgical utility drape with tape</td><td>Medline</td><td>DYNJP2405</td><td>Drapes for sterild field</td></tr><tr><td>SURGICEL Absorbable Hemostat</td><td>Ethicon</td><td>1952S</td><td>Hemostatic cellulose</td></tr><tr><td>Tip up Grasper</td><td>Intuitive Surgical</td><td>471344</td><td></td></tr><tr><td>Vessel Loop Silicone</td><td>McKesson</td><td>31145660</td><td>Vessel loop for retraction of vascular, pancreatic neck</td></tr><tr><td>Vessel sealer extend</td><td>Intuitive Surgical</td><td>480422</td><td></td></tr></tbody></table>

intraoperatief videoconsult na galwegdoorsnijding vergemakkelijkt directe or-overdracht voor robotische hepaticojejunostomie in het tertiair centrum

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Intraoperatief videoconsult na galwegdoorsnijding vergemakkelijkt directe OR-overdracht voor robotische hepaticojejunostomie in het tertiair centrum

Bile duct injuries during cholecystectomy are most frequently attributed to misidentification of surgical anatomy. Initial management following a major ...

intraoperative-video-consultation-following-bile-duct-transection

Research

JoVE Journal

Medicine

Geneeskunde

Robotische centrale pancreatectomie kan worden gebruikt bij geselecteerde patiënten in ervaren centra. Dit protocol presenteert alle stappen en de haalbaarheid van een robotische centrale pancreatectomie met Roux-en-Y pancreaticojejunostomie bij een 16-jarige adolescente patiënt.

Robotic Central Pancreatectomy met Roux-en-Y Pancreaticojejunostomie

Robotische leverchirurgie heeft meer acceptatie gekregen als een haalbare, veilige en effectieve procedure voor de behandeling van zowel goedaardige als kwaadaardige indicaties. Robotische linker hepatectomie is echter technisch nog steeds veeleisend. We beschrijven onze chirurgische techniek van een robotische linkerhepatectomie met behulp van indocyanine groene fluorescentie beeldvorming voor een grote galcyste.

Robotic Left Hepatectomy met behulp van Indocyanine Green Fluorescence Imaging voor een intrahepatisch complex galcyste

Robotresectie van hepatische S4b, S5 en S1 met behulp van de Taj Mahal-procedure is haalbaar en veilig voor geselecteerde patiënten met hilar cholangiocarcinoom. De stap-voor-stap details voor deze operatie worden hier gepresenteerd.

Robot Taj Mahal Hepatectomie voor Hilar Cholangiocarcinoom

Dit protocol presenteert een geval van een robotische partiële duodenale resectie met primaire zijwaartse duodeno-jejunale reconstructie bij een patiënt met een twaalfvingerige darmstenose van 5 cm. Dit gebeurt in het derde segment van de twaalfvingerige darm (D3) na een endoscopische mucosale resectie (EMR) voor een poliep in de twaalfvingerige darm.

Robotische D3 gedeeltelijke duodenale resectie met primaire zij-aan-zij anastomose

Het huidige protocol schetst het gebruik van robotgeassisteerde resectie van de pancreaticobiliaire overgang voor de chirurgische behandeling van goedaardige tumoren van de twaalfvingerige darm. Deze aanpak biedt een effectieve oplossing voor de behandeling van deze tumoren, terwijl het verlies van de twaalfvingerige darm wordt geminimaliseerd en de bijbehorende complicaties worden verminderd.

Toepassing van robotgeassisteerde pancreaticobiliaire junctieresectie bij goedaardige duodenale tumoren

Dit protocol presenteert een methode voor het uitvoeren van een parenchymale sparende robotgeassisteerde laterale pancreaticojejunostomie bedoeld voor op de juiste manier geselecteerde patiënten met een obstructie van de ductus pancreatico, zonder significante ontsteking van de pancreaskop. Dit artikel demonstreert kritieke aspecten van de operatie op een minimaal invasieve, robotachtige manier om terugkerende acute/chronische pancreatitis te behandelen.

Robotgeassisteerde laterale pancreaticojejunostomie voor chronische pancreatitis

Het protocol presenteert een stapsgewijze laparoscopisch protocol voor radicale resectie van Bismuth-Corlette type IIIb perihilaire cholangiocarcinoom. De procedure integreert preoperatieve PTCD, complexe vasculaire dissectie en reparatie, en galwegreconstructie voor toepassing in hepatobiliaire centra met een hoog volume.

Intraoperatieve strategie onder complexe vasculaire adhesie voor laparoscopische radicale resectie van bismut-corlette type IIIb perihilair cholangiocarcinoom

Dit rapport geeft een gedetailleerde beschrijving van een nieuwe afstandsbediening navigatiesysteem gebaseerd op magnetisch gestuurde krachten, die onlangs geïntroduceerd als een nieuw robotwerktuig voor menselijke cardiale elektrofysiologie procedures.

Afstandsbediening Magnetische Navigation voor Nauwkeurige, Real-time Catheter Positionering en Ablation in hartelektrofysiologie Procedures

Werkwijze voor visualiseren en kwantificeren van de 3-dimensionale structuur van muis poortader of intrahepatische galgang beschreven. Deze hars gegoten techniek kan ook worden toegepast op andere ductale of vasculaire systemen en...

3-Dimensionale kunstharsproducten en beeldvorming van de muis Portal Vein of Intrahepatische Bile Duct System

We beschrijven een zeer reproduceerbare werkwijze voor de permanente occlusie van een knaagdier grote cerebrale bloedvat. Deze techniek kan worden bereikt met zeer weinig perifere schade minimaal bloedverlies, een hoog percentage overleving op lange termijn en consistente infarct volume evenredig met de klinische populatie.

Permanente Cerebrale vatocclusie<em&gt; Via</em&gt; Dubbele Ligatuur en doorsnijding

Leer hoe intraoperatief videoconsult chirurgen helpt bij directe besluitvorming bij galwegletsel. Deze methode verbetert samenwerking tussen regionale en academische centra en versnelt patiëntenzorg.

Intraoperatief videoconsult na galwegdoorsnijding vergemakkelijkt directe OR-overdracht voor robotische hepaticojejunostomie in het tertiair centrum (Video) | JoVE Journal

Intraoperatief videoconsult na galwegdoorsnijding vergemakkelijkt directe OR-overdracht voor robotische hepaticojejunostomie in het tertiair centrum

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