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Case Reports
. 2010 Oct 12:8:87.
doi: 10.1186/1477-7819-8-87.

Robot-assisted complete excision of choledochal cyst type I, hepaticojejunostomy and extracorporeal Roux-en-y anastomosis: a case report and review literature

Thawatchai Akaraviputh  1 , Atthaphorn Trakarnsanga, Nutnicha Suksamanapun
Affiliations
Case Reports

Robot-assisted complete excision of choledochal cyst type I, hepaticojejunostomy and extracorporeal Roux-en-y anastomosis: a case report and review literature

Thawatchai Akaraviputh et al. World J Surg Oncol. .

Abstract

For Choledochal cyst type I, complete excision of cyst with Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a telemanipulative robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of robot-assisted total excision of a choledochal cyst type I and biliary reconstruction in a 14-year-old girl. No intraoperative complications or technical problems were encountered. An intraabdominal collection occurred and was successfully treated with continuous percutaneous drainage. At one-year follow-up, she is doing well without evidence of recurrent cholangitis.

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Figures

Figure 1
Figure 1
Computed tomography scan demonstrating the choledochal cyst type I.
Figure 2
Figure 2
Schematic illustration of the port placement: C, 12-mm camera port; R1-3, 8-mm robotic instrument ports; A, 12-mm assisted port.
Figure 3
Figure 3
Intraoperative finding of the narrow pancreatic part of common bile duct ligated with a plastic clip.
Figure 4
Figure 4
The Robot-assisted end-to-side hepaticojejunostomy (white arrow) was completely performed with Vicryl #3/0 interrupted stitches.
See this image and copyright information in PMC

References

    1. Shimura H, Tanaka M, Shimizu S, Mizumoto K. Laparoscopic treatment of congenital choledochal cyst. Surg Endosc. 1998;12:1268–71. doi: 10.1007/s004649900834. - DOI - PubMed
    1. Tan HL, Shankar KR, Ford WD. Laparoscopic resection of type I choledochal cyst. Surg Endosc. 2003;17:1495. doi: 10.1007/s00464-003-4502-8. - DOI - PubMed
    1. Akaraviputh T, Boonnuch W, Watanapa P, Lert-Akayamanee N, Lohsiriwat D. Surgical Management of Adult Choledochal Cysts. J Med Assoc Thai. 2005;88:939–43. - PubMed
    1. Metcalfe MS, Wemyss-Holden SA, Maddern GJ. Management dilemmas with choledochal cysts. Arch Surg. 2003;138:333–9. doi: 10.1001/archsurg.138.3.333. - DOI - PubMed
    1. Tanaka M, Shimizu S, Mizumoto K, Yokohata K, Chijiiwa K, Yamaguchi K, Ogawa Y. Laparoscopically assisted resection of choledochal cyst and Roux-en-Y reconstruction. Surg Endosc. 2001;15:545–52. doi: 10.1007/s004640000380. - DOI - PubMed

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