Year: 2026
Type: article
Study design: Case Report
Abstract: Introduction. This study presents the first experience of robotic fenestration of a liver cyst using the Versius system and assesses the feasibility and safety of this procedure in children. Clinical case. The study presents a case of successful treatment of a simple liver cyst in a 15-year-old boy who had been complaining of discomfort in the right hypochondrium and occasional pain for 6 months prior to admission to the children's hospital. Visualization data confirmed the ultrasound finding and identified a simple liver cyst with a diameter of 7 cm with a thin avascular capsule filled with liquid contents. The operation was performed using the Versius robotic system developed by CMR (UK). The main stages of the operation included: cyst puncture and aspiration of its contents; excision of the cyst dome (fenestration) as close to the liver parenchyma as possible; destruction of the remaining epithelium of the posterior wall of the cyst using argon plasma photocoagulation to prevent recurrence of the disease. The patient's age at the time of surgery was 15 years. The cyst was located in segment VI of the right lobe of the liver. The duration of the surgery was 130 min, the robot installation time was 15 min, the main console time was 115 min. The total blood loss was no more than 5 ml. The surgery was not accompanied by conversion to laparoscopic or open surgery. During the surgical interventions, no complications associated with trauma to the bile ducts, liver vessels, or adjacent anatomical structures were noted. Recovery was smooth and quick, and the patient was discharged from the hospital on the 3rd postoperative day. Pathological examination of the resected sample showed a benign liver cyst. Conclusion. Robot-assisted fenestration combined with simultaneous argon plasma photocoagulation of the residual cavity is a feasible option for the treatment of simple liver cysts and is accompanied by a favorable course of the postoperative period.
DOI: 10.24287/j.1037
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7204243543