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The international journal of medical robotics + computer assisted surgery : MRCAS · 2024

Robotic management of primary cholecystoduodenal fistula: A case report and brief literature review.

Клинический случайОбзорСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Alfonso Anjelica, McFarland Kimberly N, Savsani Kush, Lee Seung, Imai Daisuke, Khan Aamir, Sharma Amit, Saeed Muhammad, Kumaran Vinay, Cotterell Adrian, Bruno David, Levy Marlon

Аннотация

BACKGROUND: Cholecystoduodenal fistula (CDF) arises from persistent biliary tree disorders, causing fusion between the gallbladder and duodenum. Initially, open resection was common until laparoscopic fistula closure gained popularity. However, complexities within the gallbladder fossa yielded inconsistent outcomes. Advanced imaging and robotic surgery now enhance precision and detection.

METHOD: A 62-year-old woman with chronic cholangitis attributed to cholecystoduodenal fistula underwent successful robotic cholecystectomy and fistula closure.

RESULTS: Postoperatively, the symptoms subsided with no complications during the robotic procedure. Existing studies report favourable outcomes for robotic cholecystectomy and fistula closure.

CONCLUSIONS: Our case report showcases a rare instance of successful robotic cholecystectomy with CDF closure. This case, along with a review of previous cases, suggests the potential of robotic surgery as the preferred approach, especially for patients anticipated to face significant laparoscopic morbidity.

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