Published online Jul 16, 2018. doi: 10.12998/wjcc.v6.i7.143
Peer-review started: February 28, 2018
First decision: March 15, 2018
Revised: March 23, 2018
Accepted: April 22, 2018
Article in press: April 22, 2018
Published online: July 16, 2018
Processing time: 138 Days and 19.6 Hours
A 7-year-old female experienced abdominal pain without an obvious cause which could be self-relieved. The patient underwent imaging examination at our hospital, which indicated multiple intrahepatic and extrahepatic cystic dilatation of bile duct. It was diagnosed as type IVa congenital choledochal cysts (CCs).
It was clearly diagnosed as type IVa CCs.
The patient underwent imaging examination at our hospital, which indicated multiple intrahepatic and extrahepatic cystic dilatation of bile duct.
Patient underwent an imaging examination at our hospital, which indicated multiple intrahepatic and extrahepatic cystic dilatation of bile duct.
The pathological examination confirmed the diagnosis of cystic dilatation of the common bile duct.
We carried out robotic-assisted laparoscopic choledochocystectomy and biliary-intestinal anastomosis after the preoperative examinations.
The first robotic laparoscope-assisted type I choledochocystectomy for a 5-year-old child patient in the world was reported in 2006. Subsequently, there were some related reports fellows. The Queen Mary Hospital of the University of Hong Kong in China completed the first treatment of a case of CCs with a robotic surgical system in 2013. 36 cases of children’s CCs treated by robotic surgery were reported in 2015, the largest number so far. Dr. Shaotao Tang first reported the treatment of three cases of CCs by robotic surgery in the mainland area in 2016.
CCs are disease of cystic dilatations of the bile duct. Its incidence in European countries and United States is 5-15 cases per million people. It is more common in Asian countries with an incidence of 1000 cases per million people.
Choledochocystectomy for children completely by robotic surgery is safe and feasible. Our initial experience shows that this surgical approach has a clearer field than traditional endoscopy, and a more flexible operation. The surgery is more accurate and the injury is smaller. Robotic surgery may become a new trend in this surgical procedure with the advancement of technology and the accumulation of surgeons’ experience.