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An updated version of this article can be found here: jomi.com/645

What changed in the new version:

  • The title now uses “robotic-assisted” and broadens the indication to cholelithiasis rather than highlighting the 6.8-cm stone. The list of authors was adjusted to include new authors who worked on the revised manuscript. The abstract and article were substantially rewritten to emphasize the critical view of safety, Firefly fluorescent cholangiography, minimally invasive benefits, malignancy risk, and broader applicability to biliary disease. The case history now includes the seven-year history of porcelain gallbladder, imaging findings, comorbidities, postoperative course, and final pathology showing adenomyomatosis, chronic cholecystitis with reactive changes, and cholelithiasis. An animation was also added to the article.
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  • Title
  • 1. Introduction
  • 2. Access to the Abdomen and Diagnostic Laparoscopy to Rule out any Obvious Malignancy
  • 3. Robot Docking
  • 4. Exposure
  • 5. Dissection for the Critical View of Safety (CVS)
  • 6. Cystic Duct Clipping and Dividing
  • 7. Removal of Remaining Gallbladder from the Liver Bed
  • 8. Hemostasis, Final Inspection, and TAP Blocks
  • 9. Robot Undocking and Specimen Extraction
  • 10. Closure
  • 11. Post-op Remarks

Article type:Descriptions of Clinical and Surgical Procedures

Robotic Cholecystectomy for Porcelain Gallbladder and a 6.8-cm Stone

19483 views

Rushin D. Brahmbhatt, MD
Penn State Health Milton S. Hershey Medical Center

Manuscript Format: Case Overview

Procedure Outline

1. Introduction

2. Access to the Abdomen and Diagnostic Laparoscopy to Rule out any Obvious Malignancy

3. Robot Docking

4. Exposure

5. Dissection for the Critical View of Safety (CVS)

  1. If necessary and Possible, Clip and Divide Cystic Artery Early (Violation of CVS)

6. Cystic Duct Clipping and Dividing

7. Removal of Remaining Gallbladder from the Liver Bed

8. Hemostasis, Final Inspection, and TAP Blocks

9. Robot Undocking and Specimen Extraction

10. Closure

11. Post-op Remarks

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Penn State Health Milton S. Hershey Medical Center

Article Information

Publication Date
Article ID501
Production ID0501
Volume2025
Issue501
DOI
https://doi.org/10.24296/jomi/501