Ann Hepatobiliary Pancreat Surg.  2024 May;28(2):266-269. 10.14701/ahbps.23-114.

A case of laparoscopic excision of choledochal cyst, hepaticojejunostomy, and Roux-en-Y anastomosis using Artisential^®

• Shim Y
• Kang CM

• KMID: 2555937
• DOI: http://doi.org/10.14701/ahbps.23-114

Abstract

Choledochal cyst is a condition involving an abnormal dilation of the bile ducts, which can lead to various symptoms and comorbidities, including cancer. The treatment of choice for choledochal cyst is surgical correction including choledochal cyst excision and Roux-en-y hepaticoenterostomy. Minimal invasive methods like laparoscopic methods or robotic methods are used for surgical correction of choledochal cysts; however, it is still controversial which method is superior. A Korean company, LIVESMED, developed Artisential^® , a laparoscopic surgical instrument that can overcome the drawbacks of laparoscopic methods. This article presents a case of the first Artisential^® -performed surgical excision of a choledochal cyst and hepaticojejunostomy.

Keyword

Choledochal cyst; Laparoscopic surgery; Case reports

Figure

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  Fig. 1 (A) The Multi-joint-end-effector of Artisential®. (B) The handle part of Artisential®. Its movements are synchronized with the end effectors shown in (A). (C) Magnetic resonance cholangiopancreatography results show choledochal cyst and anomalous pancreaticobiliary duct union.

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  Fig. 2 (A) The Artisential® brochure demonstrates the synchronized movement of the end-effector. (B) The Artisential® brochure demonstrates the lock function.

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  Fig. 3 The surgical process. (A) Excision of choledochal cyst. Endo GIATM is used to clip CBD. (B) Hepaticojejunostomy is performed by Artisential®. CBD, common bile duct; L, liver; D, duodenum; HD, hepatic duct; J, jejunum.

Reference

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