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Robotic Cholecystectomy for Chronic Cholecystitis for a Patient with Recurrent Gallstone Pancreatitis and a Percutaneous Cholecystostomy Tube

Charles C. Vining, MD, FACS, FSSO; Mark Knab, MD, FACS, FSSO; Rushin D. Brahmbhatt, MD
Penn State Health Milton S. Hershey Medical Center

1. Introduction

2. Surgical Approach and Placement of Ports with Lysis of Adhesions

3. Robot Docking

4. Further Lysis of Adhesions, Defining Anatomy, and Identifying and Removing the Percutaneous Cholecystostomy Tube

5. Dissection for Critical View of Safety

6. Clipping and Diving the Cystic Duct and Artery

7. Removal of Remaining Gallbladder from the Liver Bed

8. Hemostasis, Specimen Extraction, and Robot Undocking

9. Closure and TAP Blocks

10. Post-op Remarks