{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T03:41:34Z","timestamp":1771299694513,"version":"3.50.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Post-cholecystectomy syndrome (PCS) is a well-documented complication of incomplete cholecystectomy. The etiology is often post-surgical chronic inflammation from unresolved cholelithiasis, which is secondary to anatomical abnormalities, including a retained gallbladder or a large cystic duct remnant (CDR). An exceedingly rare consequence is retained gallstone fistulization into the gastrointestinal tract. We present a case of a 70-year-old female with multiple comorbidities 4 years status-post incomplete cholecystectomy, who developed PCS with cholecystoduodenal fistula secondary to retained gallstone in the remnant gallbladder, with CDR involvement, treated via robotic-assisted surgery. Reoperation in PCS has been traditionally performed via laparoscopic approach with recent advances made in robotic-assisted surgery. However, we report the first documented case of PCS complicated by bilioenteric fistula repaired with robotic-assisted surgery. This highlights the value of robotic-assisted surgery in complicated cases, where one must contend with post-surgical anatomic abnormalities and visualization difficulties. Subsequent investigation is necessary to objectively quantify the safety and reproducibility of our approach.<\/jats:p>","DOI":"10.1093\/jscr\/rjad251","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T13:35:06Z","timestamp":1684244106000},"source":"Crossref","is-referenced-by-count":6,"title":["Robotic-assisted completion cholecystectomy with repair of cholecystoduodenal fistula"],"prefix":"10.1093","volume":"2023","author":[{"given":"Joshua C","family":"Hurwitz","sequence":"first","affiliation":[{"name":"NYU Long Island School of Medicine Department of Surgery, , Mineola, NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine E","family":"Kolwitz","sequence":"additional","affiliation":[{"name":"Oregon Health and Science University Hospital; Portland Department of Abdominal Transplant Surgery, , OR , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Y","family":"Kim","sequence":"additional","affiliation":[{"name":"New York University Langone Hospital-Long Island Department of Radiology, , Mineola, NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrizio","family":"Petrone","sequence":"additional","affiliation":[{"name":"Department of Surgery, NYU Langone Hospital-Long Island , Mineola, NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David K","family":"Halpern","sequence":"additional","affiliation":[{"name":"Department of Surgery, NYU Langone Hospital-Long Island , Mineola, NY , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,5,13]]},"reference":[{"key":"2023051613344616000_ref1","first-page":"71\u20135","article-title":"Post cholecystectomy syndrome: role of cystic duct stump and re-intervention by laparoscopic surgery","volume":"4","author":"Om","year":"2008","journal-title":"J Minimal Access 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tract","volume":"111","author":"Woods","year":"1992","journal-title":"Surgery"},{"key":"2023051613344616000_ref6","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/ases.12012","article-title":"Laparoscopic completion cholecystectomy: a retrospective study of 40 cases","volume":"6","author":"Parmar","year":"2013","journal-title":"Asian J Endosc Surg"},{"key":"2023051613344616000_ref7","doi-asserted-by":"crossref","first-page":"e2312","DOI":"10.1002\/rcs.2312","article-title":"Robotic-assisted completion cholecystectomy: a safe and effective approach to a challenging surgical scenario \u2013 a single center retrospective cohort study","volume":"17","author":"Tschuor","year":"2021","journal-title":"Int J Med Robot"},{"key":"2023051613344616000_ref8","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1002\/rcs.270","article-title":"Laparoscopic robot-assisted completion cholecystectomy: a report of three cases","volume":"5","author":"Kohn","year":"2009","journal-title":"Int J Med Robot"},{"key":"2023051613344616000_ref9","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1186\/s12893-019-0567-8","article-title":"Intraoperative detection of the remnant cystic duct during robot-assisted surgery using near-infrared fluorescence imaging: a case report","volume":"19","author":"Manen","year":"2019","journal-title":"BMC Surg"}],"container-title":["Journal of Surgical Case 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