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

IF 2.3 3区医学 Q2 SURGERY International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-04-21 DOI:10.1002/rcs.2629

Anjelica Alfonso, Kimberly N. McFarland, Kush Savsani, Seung Lee, Daisuke Imai, Aamir Khan, Amit Sharma, Muhammad Saeed, Vinay Kumaran, Adrian Cotterell, David Bruno, Marlon Levy

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Abstract

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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原发性胆囊十二指肠瘘的机器人治疗：病例报告和简要文献综述

背景胆囊十二指肠瘘（CDF）源于持续性胆道疾病，导致胆囊和十二指肠融合。最初，在腹腔镜瘘管闭合术流行之前，开腹切除术很常见。然而，胆囊窝内的复杂情况导致了不一致的结果。现在，先进的成像技术和机器人手术提高了精确度和检测能力。方法一名患有慢性胆管炎、胆囊十二指肠瘘的 62 岁女性成功接受了机器人胆囊切除术和瘘管闭合术。结果术后症状缓解，机器人手术过程中未出现并发症。现有研究显示，机器人胆囊切除术和瘘管闭合术的疗效良好。结论我们的病例报告展示了一例罕见的成功机器人胆囊切除术和 CDF 闭合术。该病例以及对以往病例的回顾表明，机器人手术有可能成为首选方法，尤其是对于预计会面临严重腹腔镜发病率的患者。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.