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Updated: Jan 12, 2026
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Robotic-assisted single-port choledochal cyst radical surgery in children - a case series study
Jianglong Chen1,2, Yuru Zhang1,2, Shan Lin1,2
1Shengli Clinical Medical College of Fujian Medical University, Fuzhou, Fujian Province, China.
Insights
Robotic-assisted single-port surgery using the da Vinci Xi system is a safe and effective approach for pediatric choledochal cyst resection. This innovative technique shows promise for improved patient outcomes in pediatric surgery.
Area of Science:
- Minimally Invasive Surgery
- Pediatric Surgery
- Surgical Robotics
Background:
- Pioneering the use of the da Vinci Xi system's robotic-assisted single-port technology for pediatric choledochal cyst resection.
- Assessing the feasibility and safety of this novel surgical approach in pediatric patients.
Purpose of the Study:
- To evaluate the safety and efficacy of robotic-assisted single-port choledochal cyst resection in children.
- To describe the surgical technique and perioperative outcomes.
Main Methods:
- Study included five pediatric patients with choledochal cysts.
- Detailed description of the single-port umbilical approach, including externalized anastomosis.
- Robotic system used for gallbladder and cyst removal, and biliary-intestinal anastomosis.
Main Results:
- All five surgeries were successfully completed without complications.
- Total operative time ranged from 180 to 232 minutes; robotic operative time was 60 to 90 minutes.
- Fasting and hospitalization durations were 3-7 and 7-14 days, respectively, with no reported adverse events.
Conclusions:
- Robotic-assisted single-port surgery with the da Vinci Xi system is safe and effective for pediatric choledochal cyst resection.
- Further research with larger cohorts is recommended to explore long-term outcomes and the learning curve associated with this technique.
Background:
We pioneered the use of the da Vinci Xi system's robotic-assisted single-port technology for pediatric choledochal cyst resection. We assessed the feasibility and safety of this new surgical approach.
Methods:
Our study included five pediatric patients diagnosed with choledochal cyst. We described the surgical procedures in detail. We established the single port through the umbilicus. The jejunal Roux limb and intestinal anastomosis were performed outside the abdomen through the single port. Then, we removed the gallbladder and cyst and performed biliary-intestinal anastomosis using the robotic system. We collected characteristic data and perioperative data.
Results:
All surgeries were successful. The total operative time ranged from 180 to 232 minutes, and the robotic operative time ranged from 60 to 90 minutes. The fasting time ranged from 3 to 7 days, and the hospitalization time ranged from 7 to 14 days. We did not observe any complications, including blood vessel, intestine, or pancreas injury, intra-abdominal or wound infection, cholangitis, or biliary fistula.
Conclusion:
The robotic-assisted single-port technology is safe and effective for pediatric choledochal cyst resection using the da Vinci Xi system. However, further studies with larger patient populations are needed to provide more information on long-term complications and the learning curve.
