Only logged in users can watch the content

Chat keyboard_arrow_down
Description keyboard_arrow_down

This video presents a step-by-step robotic surgical treatment of a Type I choledochal cyst in a 20-year-old female patient with a history of right upper quadrant abdominal pain. Preoperative imaging (MRCP and CT scans) confirmed a choledochal cyst and revealed an accessory right hepatic artery. The procedure highlights the importance of precise biliary anatomy identification and vascular dissection. Key steps include a critical view of safety prior to cystic artery section, the use of ICG fluorescence for enhanced anatomical visualization, and meticulous dissection of the cystic and hepatic ducts. The choledochal cyst was resected en bloc with the gallbladder. A Roux-en-Y hepaticojejunostomy was performed to restore biliary continuity. The anastomosis was confirmed with an intraoperative bile leak test using ICG, which was corrected with an additional suture. The procedure was completed with closure of the mesenteric defect and anastomosis. The patient recovered uneventfully and was discharged on postoperative day four. Histopathology confirmed a benign bile cyst without dysplasia. No complications were observed during the one-year follow-up.


Faculty keyboard_arrow_down
Dr. Concepción Gómez-Gavara MD, PhD, HBP and Liver Transplantation Surgeon, Vall d’Hebron University Hospital, Spain HPB Surgery
Related Content keyboard_arrow_down