Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons  2010;13(1):35-38

Robot-assisted Excision of a Huge Choledochal Cyst and Roux-en-Y Hepaticojejunostomy using the da Vinci(TM) Surgical System.

Jeong Sun LEE 1 ; Jeong Hyun PARK ; Tae Ho HONG ; Sang Kuon LEE

Affiliations

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Keywords

Choledochal cyst; Robot; Biliary-enteric reconstruction

Country

Republic of Korea

Language

Korean

Abstract

Choledochal cysts are cystic dilatations of the extrahepatic biliary tree, the intrahepatic bile ducts or both. Because they can develop malignant components, the principle treatment is total excision of the cyst with biliary-enteric reconstruction, and this has been attempted with using minimally invasive techniques. But most reports have uniformly emphasized the technical challenge of laparoscopically correcting a choledochal cyst because of the restricted movements of the laparoscopic equipment. On the other hand, a robotic surgical system with three-dimensional visualization, tremor reduction, motion scaling and wristed instrumentation was introduced in the recent years. Herein, we present a case of the robotic approach to a huge choledochal cyst in an adult.