Robot-assisted choledochal cyst resection in a child

Sokolov Yu.Yu.

Russian Medical Academy of Continuous Professional Education

Efremenkov A.M.

Russian Medical Academy of Continuous Professional Education;
Central Clinical Hospital with the clinic of the Management Affair of President Russian Federation

Zykin A.P.

Central Clinical Hospital of the Presidential Administration of the Russian Federation

Kirgizov I.V.

Russian Medical Academy of Continuous Professional Education

Shakhbanov R.R.

Russian Medical Academy of Continuous Professional Education;
Central Clinical Hospital with Polyclinic of the Presidential Administration of the Russian Federation

Robot-assisted choledochal cyst resection in a child

Authors:

Sokolov Yu.Yu., Efremenkov A.M., Zykin A.P., Kirgizov I.V., Shakhbanov R.R.

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Journal: Pirogov Russian Journal of Surgery. 2023;(3): 52‑57

DOI: 10.17116/hirurgia202303152

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To cite this article:

Sokolov YuYu, Efremenkov AM, Zykin AP, Kirgizov IV, Shakhbanov RR. Robot-assisted choledochal cyst resection in a child. Pirogov Russian Journal of Surgery. 2023;(3):52‑57. (In Russ.)
https://doi.org/10.17116/hirurgia202303152

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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The generally accepted method for choledochal cysts is total resection of cystic extrahepatic bile ducts and gallbladder followed by biliodigestive anastomosis. Minimally invasive interventions have recently become the «gold» standard in pediatric hepatobiliary surgery. However, laparoscopic resection of choledochal cysts has certain disadvantages related to difficult positioning of instruments in narrow surgical field. The disadvantages of laparoscopy can be compensated by surgical robots. A 13-year-old girl underwent robot-assisted resection of hepaticocholedochal cyst, cholecystectomy and Roux-en-Y hepaticojejunostomy. Total anesthesia time was 6 hours. Laparoscopic stage took 55 min, docking of robotic complex — 35 min. Robotic stage of surgery required 230 min, removal of cyst and suturing the wounds — 35 min. Postoperative period was uneventful. Enteral nutrition was started after 3 days, and drainage tube was removed after 5 day. The patient was discharged after 10 postoperative days. The follow-up period was 6 months. Thus, robot-assisted resection of choledochal cysts in children is possible and safe.

Keywords:

children

childhood

pediatric surgery

malformations

liver

biliary tract

common bile duct

choledochal cyst

minimally invasive surgery

robot-assisted surgery

robotic surgery

da Vinci Surgical System

Authors:

Sokolov Yu.Yu.

Russian Medical Academy of Continuous Professional Education

Efremenkov A.M.

Russian Medical Academy of Continuous Professional Education;
Central Clinical Hospital with the clinic of the Management Affair of President Russian Federation

Zykin A.P.

Central Clinical Hospital of the Presidential Administration of the Russian Federation

Kirgizov I.V.

Russian Medical Academy of Continuous Professional Education

Shakhbanov R.R.

Russian Medical Academy of Continuous Professional Education;
Central Clinical Hospital with Polyclinic of the Presidential Administration of the Russian Federation

Received:

27.05.2022

Accepted:

28.09.2022

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