The First Single-Port Robotic-Assisted Excision of Choledochal Cyst and Hepaticojejunostomy in Children

Abstract

Background: Choledochal cysts are congenital anomalies requiring surgical intervention, typical excision and hepaticojejunostomy. The da Vinci single-port (SP) robotic system offers a minimally invasive approach with potential benefits for paediatric patients. Methods: This study describes the SP robotic-assisted resection of choledochal cysts and hepaticojejunostomy in two paediatric patients. Surgical techniques, system description, and procedural outcomes were detailed. Results: Both surgeries were successfully completed with minimal blood loss and no intraoperative complications. Patients transitioned to a soft diet by postoperative day 3 and were discharged by day 6 without complications. Follow-up at 6 months showed normal sonography and laboratory findings. Conclusions: The da Vinci SP system facilitated precise single-incision surgery with improved manoeuvrability and visualisation, demonstrating safety and feasibility for paediatric choledochal cyst excision and hepaticojejunostomy. Further studies are warranted to confirm these findings across larger paediatric populations.