Usefulness of Robotic Surgery in the Management of Bile Duct Lesions

While uncommon, iatrogenic bile duct injury (BDI) resulting from laparoscopic cholecystectomy can have severe consequences for the patient. The key elements in the initial management of BDI include prompt identification, subsequent utilization of advanced imaging techniques, and an assessment of the severity of the injury. Seeking care at a tertiary hepato-biliary center with a multidisciplinary approach is essential for comprehensive and effective management. The robotic approach offers enhanced precision and vision, and the ability to perform complex interventions with minimal incisions. All of these are fulcral to deal with complex lesions, and experienced HBP surgeons are increasingly adopting advanced technologies in their practice. The use of cutting-edge technologies has become more prevalent in the field, enhancing precision and improving patient outcomes. We present the case of a 52-year-old patient who underwent laparoscopic cholecystectomy, which was complicated by a common bile duct lesion (Strasberg E1). The diagnosis was made a week later when the patient presented with jaundice and abdominal pain, leading to hospital admission. Following a comprehensive diagnosis, a robotic repair was decided. After a thorough assessment was conducted, a biliary duct to duct reconstruction was performed.With its minimally invasive nature, robotic surgery presents a viable option for addressing complex biliary lesions, offering patients the benefits of faster recovery and enhanced postoperative quality of life. As technology continues to evolve, the role of robotic surgery in the management of biliary lesions is likely to expand, further refining our approach to hepatobiliary interventions.