<?xml version="1.0" encoding="UTF-8"?>
<!--Arbortext, Inc., 1988-2014, v.4002-->
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.1 20151215//EN" "JATS-journalpublishing1.dtd">
<?Pub Inc?>
<article article-type="research-article" dtd-version="1.0" xml:lang="en" xmlns:mml="https://www.w3.org/1998/Math/MathML" xmlns:xlink="https://www.w3.org/1999/xlink" xmlns:xsi="https://www.w3.org/2001/XMLSchema-instance">
  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Journal of Medical Insight</journal-title>
      </journal-title-group>
      <?Pub Caret -1?>
      <issn pub-type="epub">2373-6003</issn>
      <publisher>
        <publisher-name>JoMI</publisher-name>
        <publisher-loc>Boston, Massachusetts</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">523</article-id>
      <article-id pub-id-type="doi">10.24296/jomi/523</article-id>
      <article-categories>
        <subj-group>
          <subject>Research article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Robotic Cholecystectomy for Recurrent Gallstone Pancreatitis in a Patient with Prior Distal Pancreatectomy and Splenectomy for Acinar Cell Carcinoma</article-title>
      </title-group>
      <contrib-group/>
      <pub-date pub-type="ppub">
        <year>2026</year>
      </pub-date>
      <volume>2026</volume>
      <issue>02</issue>
      <permissions>
        <copyright-statement>2017 Journal of Medical Insight</copyright-statement>
        <copyright-year>2017</copyright-year>
        <license xlink:href="https://jomi.com/license">
          <license-p>
            You may create an account, or sign in to gain temporary access for evaluation purposes.
                    To maintain access: please let your librarian know you would like a subscription or send us an email at subscribe@jomi.com and we will forward your feedback to your librarian.
            <uri xlink:href="https://jomi.com/license"/>
          </license-p>
        </license>
      </permissions>
      <self-uri content-type="html" xlink:href="https://jomi.com/article/523/robotic-cholecystectomy-for-recurrent-gallstone-pancreatitis-in-a-patient-with-prior-distal-pancreatectomy-and-splenectomy-for-acinar-cell-carcinoma">Content is available at https://jomi.com/article/523/robotic-cholecystectomy-for-recurrent-gallstone-pancreatitis-in-a-patient-with-prior-distal-pancreatectomy-and-splenectomy-for-acinar-cell-carcinoma</self-uri>
      <abstract>
        <p>Recurrent gallstone pancreatitis is a common and potentially morbid condition for which definitive cholecystectomy is recommended to prevent recurrent biliary complications and reduce hospital readmissions. Surgical management may be technically challenging in patients with prior pancreatic resection because of altered anatomy, adhesions, and concern for malignancy recurrence. This video demonstrates a robotic-assisted cholecystectomy performed in a 78-year-old man with recurrent gallstone pancreatitis and a history of distal pancreatectomy for pancreatic acinar cell carcinoma. Preoperative imaging demonstrated cholelithiasis without evidence of recurrent malignancy. Diagnostic laparoscopy was performed to exclude occult intra-abdominal disease before proceeding with cholecystectomy. Operative findings included chronic cholecystitis and cholelithiasis. Robotic dissection facilitated meticulous clearance of fibrofatty tissue within the hepatocystic triangle and safe dissection around the cystic structures prior to cystic duct division, consistent with established principles for preventing bile duct injury. The procedure was completed without complication. This case highlights the role of robotic-assisted cholecystectomy in patients with recurrent gallstone pancreatitis and prior pancreatic surgery, where enhanced visualization and instrument dexterity may improve operative safety in complex inflammatory and reoperative settings.</p>
      </abstract>
      <kwd-group>
        <kwd>Common</kwd>
        <kwd>Adult</kwd>
        <kwd>Male</kwd>
        <kwd>cholecystectomy</kwd>
        <kwd>chole</kwd>
        <kwd>robotic</kwd>
        <kwd>Recurrent Gallstone Pancreatitis</kwd>
        <kwd>Recurrent</kwd>
        <kwd>Gallstone</kwd>
        <kwd>Pancreatitis</kwd>
        <kwd>Gallstone Pancreatitis</kwd>
        <kwd>SCORE</kwd>
        <kwd>Adhesiolysis</kwd>
        <kwd>Specimen Retrieval</kwd>
        <kwd>Anatomy Outline</kwd>
        <kwd>Fascial Closure Device</kwd>
        <kwd>cholelithiasis</kwd>
        <kwd>robotic cholecystectomy</kwd>
        <kwd>critical view of safety</kwd>
        <kwd>prior pancreatic resection</kwd>
        <kwd>gallbladder</kwd>
        <kwd>gallstones</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>