This video demonstrates robot-assisted choledochal cyst excision and Roux-en-Y hepaticojejunostomy in a 10-year-old girl weighing 27 kg. The procedure illustrates the robotic approach to biliary reconstruction in pediatric surgery. Key steps include exposure of the hepatoduodenal ligament, dissection and excision of the choledochal cyst, preparation of the biliary tract, and construction of a Roux-en-Y hepaticojejunostomy. Particular attention is given to identification of the biliary anatomy, preservation of surrounding structures, and creation of a tension-free bilioenteric anastomosis. The case highlights the use of robotic visualization and articulated instruments for precise dissection and intracorporeal suturing.
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