Robot-Assisted Laparoscopic Resection of a Todani Type II Choledochal Malformation

• Main Authors: Anneke ten Hove, Ruben H.J. de Kleine, Maarten W. Nijkamp, Annet S.H. Gouw, Timco Koopman, Joost M. Klaase
• Format: Article
• Language: English
• Published: Karger Publishers 2019-05-01
• Series: Case Reports in Gastroenterology
• Subjects: Choledochal malformation; Todani type II; Robot-assisted laparoscopic resection
• Online Access: https://www.karger.com/Article/FullText/500080

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.