Robotic Surgery as an Alternative Approach for Reoperation of Incidental Gallbladder Cancer

  • Raphael L. C. AraujoEmail author
  • Marco Aurélio de Sanctis
  • Tomás R. V. Coelho
  • Fernando E. C. Felippe
  • Diego Burgardt
  • Durval R. Wohnrath
Case Report


Laparoscopic cholecystectomy (LC) is one of the most frequently performed surgical procedures with more than a half million cholecystectomies per year in the USA [1]. Gallbladder cancer represents the sixth most common type of gastrointestinal cancer [2]. The incidental gallbladder cancer (IGBC) is diagnosed in 0.19 to 2.1% of all patients undergoing laparoscopic cholecystectomy for benign gallbladder disease [3]. Regarding the progresses in minimally invasive surgery (MIS) worldwide, LC represents one of the mainstream models of development of skills in MIS. Nowadays, robotic surgery has also been settling its place as a MIS option.

Although laparoscopic liver resection (LLR) is a challenging surgery that endures in technical evolution, its role for IGBC remains controversial [4]. LLR can reduce intraoperative bleeding and postoperative morbidity when compared to open surgery in select cases [5, 6]. Although robotic surgery is feasible for both minor and major liver...



Body mass index


Diabetes mellitus


intensive care unit


Incidental gallbladder cancer


Laparoscopic cholecystectomy


Minimally invasive surgery


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Upper Gastrointestinal and Hepato-pancreato-biliary SurgeryBarretos Cancer HospitalBarretosBrazil
  2. 2.Department of Digestive SurgeryEscola Paulista de Medicina–UNIFESPSão PauloBrazil
  3. 3.Department of OncologyAmericas Medical Service/Brazil, United Health GroupSao PauloBrazil

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