Laparoscopic choledochal cyst resection using a novel articulating instrument in pediatric patients

Nathan S. Rubalcava, Richard E. Overman, Mercedes Pilkington, Christa N. Grant, James D. Geiger, Marcus D. Jarboe, K. Elizabeth Speck

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background: Historically, choledochal cyst excision has been performed as an open procedure. Controversy remains regarding managing this technically challenging entity in a minimally invasive fashion. Methods: A novel mechanically-designed intuitive, articulating instrument is used to facilitate intracorporeal suturing when there is limited working space. The mechanical design of the three-axis Gimbal cuff facilitates intracorporeal suturing by providing intuitive wristed function to the surgeon by translating the surgeon's wrist movement to the end effector. Results: We describe the adoption of a novel articulating instrument to facilitate a primary hepaticoduodenostomy within the limited space of a pediatric porta and a redo hepaticojejunostomy. Conclusions: These cases demonstrate the use of a novel articulating needle driver to sew an intracorporeal bilio-enteric anastomosis which obviates the need for robotic technology while expanding a laparoscopic surgeon's armamentarium.

Original languageEnglish (US)
Article number101888
JournalJournal of Pediatric Surgery Case Reports
StatePublished - Jul 2021

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Surgery


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