Early experience of robotic surgery for type I congenital dilatation of the bile duct

Takeshi Naitoh, Takanori Morikawa, Naoki Tanaka, Takeshi Aoki, Hideo Ohtsuka, Takaho Okada, Naoaki Sakata, Shinobu Ohnuma, Kei Nakagawa, Hiroki Hayashi, Hiroaki Musha, Hiroshi Yoshida, Fuyuhiko Motoi, Yu Katayose, Michiaki Unno

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


Laparoscopic surgery for this disease is not widely spread due to difficulties in its procedure. We started a laparoscopic procedure for this disease since 2011, and the robotic surgery since 2012. The aim of this study is to assess early results of these procedures. We have operated seven cases from September 2011 through December 2013. First two cases were performed by laparoscopic procedure, and following cases were done by robotically assisted surgery. Of these cases, the perioperative outcome and short-term postoperative morbidity were evaluated. Their average age was 43.6 years old (20–64 years old), and male–female ratio was 2:5. Todani classification was type 1 in all cases. The operation time was 321 min in laparoscopic cases, while 489 min in robotic surgery cases. One case of robotic surgery developed postoperative intestinal obstruction of the biliary limb, requiring laparoscopic adhesiolysis. Pancreatic fistula and anastomotic leakage have not been observed. The robotic surgery for the congenital dilatation of the bile duct is feasible and is a theoretically useful option, especially for hepatico-jejunostomy. On the other hand, the limitation of energy devices, high running cost, and time consumption remain questionable.

Original languageEnglish
Pages (from-to)143-148
Number of pages6
JournalJournal of Robotic Surgery
Issue number2
Publication statusPublished - 2015 Jun 27


  • Choledochal cyst
  • Complication
  • Congenital dilatation of the bile duct
  • Laparoscopic surgery
  • Robotic surgery


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