Although laparoscopic surgery for hepatobiliary disease in children is possible, it is technically challenging. In an attempt to overcome these difficulties, the da Vinci Robotic Surgical System(R) was used to facilitate the minimally invasive treatment of choledochal cyst in six children. In early consecutive three cases, we experienced three complications; a case of laparotomy conversion, a case of late stenosis of the hepaticojejunostomy, and a case of leakage from a hepaticojejunostomy. However, in the last three cases the complete resection of the choledochal cyst and Roux-en-Y hepaticojejunostomy were performed using the robotic surgical system without complication.
We think robot-assisted choledochal cyst resection in children appears safe and feasible, and may increase the variety of complex procedures in pediatric surgical fields.
Current trends in the treatments of choledochal cysts in pediatric patients in Korea in the era of minimally invasive surgery: narrative review Ayoung Kang, Soo-Hong Kim, Hae-Young Kim Journal of Medicine and Life Science.2025; 22(2): 35. CrossRef
Laparoscopic Pediatric Surgery Jong Hoon Park The Journal of Minimally Invasive Surgery.2012; 15(3): 57. CrossRef
