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Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: May 20, 2025

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Published on: February 10, 2023

Robotic Common Bile Duct Exploration for Choledocholithiasis.

Chi Zhang¹, Dillon C Cheung¹, Eleanor Johnson¹

¹Department of Surgery, Mayo Clinic Arizona, Phoenix, AZ.

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|March 27, 2025

Summary

Robotic-assisted cholecystectomy with common bile duct exploration is feasible, though it requires specialized setups and staff coordination. This approach offers a minimally invasive option for complex gallbladder procedures.

Keywords:

Cholecystectomy Choledocholithiasis Common bile duct Common bile duct exploration Robotic surgery

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Area of Science:

Minimally Invasive Surgery
Surgical Robotics
Gastrointestinal Surgery

Background:

Robotic surgery enhances visualization and dexterity for minimally invasive procedures.
Steep learning curves currently limit widespread adoption of robotic surgery.
This study details a single-stage robotic-assisted cholecystectomy with common bile duct exploration.

Observation:

A case series of 21 patients undergoing the procedure was retrospectively reviewed.
The median patient age was 70, with 43% being female.
No conversions to open or laparoscopic surgery were necessary.

Findings:

The median operative time was 215 minutes, with a median fluoroscopy time of 1.5 minutes.
Two patients (10%) required postoperative endoscopic retrograde cholangiopancreatography for duct clearance.
Specific room and equipment arrangements were needed to accommodate intraoperative fluoroscopy.

Implications:

Robotic-assisted cholecystectomy with common bile duct exploration is technically achievable.
Successful implementation necessitates dedicated equipment and meticulous staff collaboration.
Multidisciplinary team engagement is crucial for optimizing patient outcomes in robotic procedures.