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  • Title
  • Animation
  • 1. Introduction
  • 2. Access to the Abdomen and Placement of Ports
  • 3. Robot Docking
  • 4. Exploration, Exposure, and Suction
  • 5. Dissection for the Critical View of Safety (CVS)
  • 6. Cholangiogram
  • 7. Antegrade Cholangioscopy with Electrohydraulic Lithotripsy and Basket Retrieval
  • 8. Repeat Cholangiogram
  • 9. Clipping and Dividing Cystic Duct and Artery
  • 10. Removing Remaining Gallbladder from the Liver Bed
  • 11. Hemostasis and Suction
  • 12. Robot Undocking
  • 13. Specimen Extraction, Drain Placement, and TAP Blocks
  • 14. Closure
  • 15. Post-op Remarks

Article type:Descriptions of Clinical and Surgical Procedures

Robotic-Assisted Transcystic Endoscopic Common Bile Duct Exploration

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Marc Mankarious, MD1; Benjamin S. C. Fung, MD, FRCSC2; Joshua S. Winder, MD1
1Penn State Health Milton S. Hershey Medical Center
2North York General Hospital, University of Toronto

General Surgery

Manuscript Format: Full Text

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Access to the Abdomen and Placement of Ports
      1. 3. Robot Docking
        1. 4. Exploration, Exposure, and Suction
          1. 5. Dissection for the Critical View of Safety (CVS)
            1. 6. Cholangiogram
              1. 7. Antegrade Cholangioscopy with Electrohydraulic Lithotripsy and Basket Retrieval
                1. 8. Repeat Cholangiogram
                  1. 9. Clipping and Dividing Cystic Duct and Artery
                    1. 10. Removing Remaining Gallbladder from the Liver Bed
                      1. 11. Hemostasis and Suction
                        1. 12. Robot Undocking
                          1. 13. Specimen Extraction, Drain Placement, and TAP Blocks
                            1. 14. Closure
                              1. 15. Post-op Remarks

                                1. Introduction

                                2. Access to the Abdomen and Placement of Ports

                                3. Robot Docking

                                4. Exploration, Exposure, and Suction

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

                                6. Cholangiogram

                                1. Ductotomy

                                7. Antegrade Cholangioscopy with Electrohydraulic Lithotripsy and Basket Retrieval

                                1. Electrohydraulic Lithotripsy
                                2. Basket Retrieval

                                8. Repeat Cholangiogram

                                1. Bleeding Control

                                9. Clipping and Dividing Cystic Duct and Artery

                                10. Removing Remaining Gallbladder from the Liver Bed

                                11. Hemostasis and Suction

                                12. Robot Undocking

                                13. Specimen Extraction, Drain Placement, and TAP Blocks

                                14. Closure

                                15. Post-op Remarks

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                                Penn State Health Milton S. Hershey Medical Center

                                Article Information

                                Publication Date
                                Article ID544
                                Production ID0544
                                Volume2026
                                Issue544
                                DOI
                                https://doi.org/10.24296/jomi/544