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Inicio Cirugía Española (English Edition) Robotic cholecystectomy and transcystic common bile duct exploration with augmen...
Journal Information
Vol. 101. Issue 8.
Pages 562-563 (August 2023)
Vol. 101. Issue 8.
Pages 562-563 (August 2023)
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Robotic cholecystectomy and transcystic common bile duct exploration with augmented reality glasses and indocyanine green in a patient with a cystic duct cyst
Colecistectomía robótica y exploración transcística de la vía biliar con gafas de realidad aumentada y verde de indocianina en un paciente con un quiste del conducto cístico
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Fernando Pardoa,
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fpardoaranda@gmail.com

Corresponding author.
, Laura Vidala, Manel Cremadesa, Esteban Cugatb
a Department of General and Digestive Surgery, HPB unit, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, Spain
b Department of General and Digestive Surgery, Hospital Universitario Mutua Terrassa, Terrassa, Barcelona, Spain
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Choledocholithiasis can be treated by minimally invasive surgery in patients with gallbladder in situ.1 The procedure can be performed by choledochotomy or through the cystic duct, as the transcystic access decreases postoperative morbidity.2 Robotic access represents an excellent alternative, especially in complex cases.3-5 We present the case of a 72-year-old man diagnosed with cholelithiasis, a cystic duct cyst, and an 8-mm choledocholithiasis located in the distal common bile duct. We performed indocyanine green fluorescence-guided robotic cholecystectomy and transcystic exploration of the common bile duct. The assistant surgeon who handled the choledochoscope performed the procedure guided with augmented reality glasses. The operative time was 150 minutes, and the patient was discharged on the first postoperative day.

Funding

This study has received no specific grants from funding agencies in the public, commercial, or non-profit sectors.

Conflicts of interest

The authors have no conflicts of interest to disclose.

Appendix A
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References
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Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline.
Endoscopy, 51 (2019), pp. 472-491
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L. Navaratne, A. Martinez Isla.
Transductal versus transcystic laparoscopic common bile duct exploration: an institutional review of over four hundred cases.
Surg Endosc, 35 (2021), pp. 437-448
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N.A. Alkhamesi, W.T. Davies, R.F. Pinto, C.M. Schlachta.
Robot-assisted common bile duct exploration as an option for complex choledocholithiasis.
Surg Endosc, 27 (2013), pp. 263-266
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W.B. Ji, Z.M. Zhao, J.H. Dong, H.G. Wang, F. Lu, H.W. Lu.
One-stage robotic-assisted laparoscopic cholecystectomy and common bile duct exploration with primary closure in 5 patients.
Surg Laparosc Endosc Percutan Tech, 21 (2011), pp. 123-126
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K.F. Lee, A. Fung, H.T. Lok, A. Fong, C. Chong, P. Lai.
Robot-assisted minimally invasive procedures for complicated biliary stone disease.
Hepatobiliary Surg Nutr, 7 (2018), pp. 185-188
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