Ten Hove Anneke, de Kleine Ruben H J, Nijkamp Maarten W, Gouw Annet S H, Koopman Timco, Klaase Joost M
Department of Surgery, Division of Hepato-Pancreato-Biliary Surgery and Liver Transplantation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Pathology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Case Rep Gastroenterol. 2019 May 2;13(2):230-237. doi: 10.1159/000500080. eCollection 2019 May-Aug.
Choledochal malformation (CM) comprise various congenital cystic dilatations of the extrahepatic and/or intrahepatic biliary tree. CM is classified into five different types. Our case describes a 58-year-old man presenting with acute abdominal pain. Further examination showed a Todani type II CM. Treatment for type II is complete cyst excision without the need for an extrahepatic bile duct resection. A robot-assisted laparoscopic resection of the CM was performed and the patient recovered without complications. Pathology results showed a Todani type II malformation in which complete squamous metaplasia has occurred. In this paper, we report, to the best of our knowledge, the first description of a robot-assisted laparoscopic resection of a type II CM.
胆管畸形(CM)包括肝外和/或肝内胆管树的各种先天性囊性扩张。CM分为五种不同类型。我们的病例描述了一名58岁男性,表现为急性腹痛。进一步检查显示为托达尼II型CM。II型的治疗方法是完整的囊肿切除,无需进行肝外胆管切除。对该CM进行了机器人辅助腹腔镜切除术,患者康复且无并发症。病理结果显示为托达尼II型畸形,其中已发生完全鳞状化生。据我们所知,本文首次报道了机器人辅助腹腔镜切除II型CM。