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Published on: February 10, 2023
The First Case of Bile Duct Resection Using the da Vinci SP for Congenital Biliary Dilatation in an Infant
Satoshi Makita1, Hiroo Uchida1, Akinari Hinoki1
1Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Insights
This study presents the first infant case of congenital biliary dilatation (CBD) successfully treated with the da Vinci SP system. SP-assisted minimally invasive surgery proved feasible for infants, enabling complex procedures through small incisions.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Congenital biliary dilatation (CBD) is a rare condition requiring surgical intervention.
- Minimally invasive techniques are increasingly explored for pediatric surgical conditions.
Abstract:
We report the first infant case of congenital biliary dilatation (CBD) treated using the da Vinci SP system. A 4-month-old boy (7.9 kg) with Todani type IV-A CBD underwent complete extrahepatic bile duct excision, hilar bile duct plasty, and hepaticojejunostomy through a 2.7-cm umbilical incision with an additional 3-mm assistant port. Operative time was 343 min with minimal blood loss. Recovery was uneventful, and the patient was discharged on postoperative day 7. This case demonstrates the feasibility of SP-assisted minimally invasive surgery in small infants.
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