J Korean Soc Endosc Laparosc Surg.
2010 Jun;13(1):35-38.
Robot-assisted Excision of a Huge Choledochal Cyst and Roux-en-Y Hepaticojejunostomy using the da Vinci(TM) Surgical System
- Affiliations
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- 1Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. gshth@catholic.ac.kr
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.
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