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.
FundingThis study has received no specific grants from funding agencies in the public, commercial, or non-profit sectors.
Conflicts of interestThe authors have no conflicts of interest to disclose.
