SSAT - ROBOTIC HEPATIC DEBRIDEMENT AND PARTIAL RESECTION FOR CHRONICALLY INFECTED BILOMA WITH BILIARY FISTULA

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ROBOTIC HEPATIC DEBRIDEMENT AND PARTIAL RESECTION FOR CHRONICALLY INFECTED BILOMA WITH BILIARY FISTULA
Ahmed Younos^*, Mohamad Younos, Sharona B. Ross, Iswanto Sucandy
AdventHealth, Altamonte Springs, FL

29-year-old otherwise healthy woman presented with 1-year history of biliary fistula following a laparoscopic unroofing of a 10 cm multiloculated cyst. She developed postoperative fever and later infected biloma treated with 6-month IV antibiotics and multiple ERCP stenting along with percutaneous drain placements without resolution. Presenting MRI showed a 10.3 cm multiloculated cystic masses with thickened walls without clear communication with biliary tree. We herein showed succesful surgical debridement and operative management of persistent biliary fistula using a robotic platform, which should be considered an alternative solution to conventional open exploration.

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