J Korean Assoc Pediatr Surg.  2011 Jun;17(1):72-80.

Initial Experience of Robot-assisted Resection of Choledochal Cyst in Children

• Chang EY
• Chang HK
• Ryu SA
• Oh JT
• Han SJ

Abstract

Although laparoscopic surgery for hepatobiliary disease in children is possible, it is technically challenging. In an attempt to overcome these difficulties, the da Vinci Robotic Surgical System(R) was used to facilitate the minimally invasive treatment of choledochal cyst in six children. In early consecutive three cases, we experienced three complications; a case of laparotomy conversion, a case of late stenosis of the hepaticojejunostomy, and a case of leakage from a hepaticojejunostomy. However, in the last three cases the complete resection of the choledochal cyst and Roux-en-Y hepaticojejunostomy were performed using the robotic surgical system without complication. We think robot-assisted choledochal cyst resection in children appears safe and feasible, and may increase the variety of complex procedures in pediatric surgical fields.

Keyword

Choledochal cyst; Robotic Surgery

MeSH Terms

Child
Choledochal Cyst
Constriction, Pathologic
Humans
Laparoscopy
Laparotomy