Robotic marsupialization of enlarging liver cyst within porta hepatis

Presenter: Michael DeVries MD | The University of Toledo Background: 40 year old female with known liver cyst in the porta hepatis for 8 years prior to presentation, presented complains increasing abdominal pain, which was impacting her quality life. pain associated fatty meals and nausea. On imaging patient found have a contracted gall bladder, that measured 25 x 30 mm, had increased from 20 25mm on previous imaging. Methods: Patient taken operating room robotic cholecystectomy marsupilization hepatis. Abdomen accessed using Veeres needle, three 8mm ports one 12mm port placed. After docking robot, done dome down fashion. Once bladder removed, anterior surface opened, whitish clear fluid removed specimen sent frozen section came back consistent fibrous tissue wall. There no evidence any neoplasm. No biliary drainage noted. Results: tolerated procedure well discharged day surgery. final pathology suggestive benign wall chronic cholecystitis. recovered completely 1 month follow up visit. Conclusion: Robotic marsupialization is safe effective treatment cysts within