title: Robot-assisted Laparoscopic Fenestration of Giant Hepatic Cysts.
abstract: BACKGROUND
  Traditionally, nonparasitic hepatic cysts are marsupialized using laparotomy. In the last 2 decades, laparoscopic fenestration has become the preferred treatment for hepatic cysts. However, this technique is limited by 2-dimensional view and the limited mobility of straight laparoscopic instruments. These limitations may be overcome by the use of a robotic system. We describe laparoscopic fenestration of giant hepatic cysts using the da Vinci Si robotic system with the use of the Endowrist One Vessel Sealer.
  
  
  METHODS
  Our first patient is a 32-year-old female with a solitary hepatic cyst. The second patient is a 51-year-old female with polycystic liver disease.
  
  
  RESULTS
  We performed robot-assisted laparoscopic cyst fenestration with good clinical outcome. No intraoperative complications occurred and patients recovered rapidly.
  
  
  CONCLUSIONS
  These data show that the da Vinci Si robotic system is eminently suited for the laparoscopic fenestration of large hepatic cysts and that this procedure is associated with rapid recovery.
authors.affiliation: Department of Surgical Oncology, Division of Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Carolijn L M A
authors.initials: CL
authors.lastname: Nota
authors.forename: I Quintus
authors.initials: IQ
authors.lastname: Molenaar
authors.forename: Inne H M
authors.initials: IH
authors.lastname: Borel Rinkes
authors.forename: Jeroen
authors.initials: J
authors.lastname: Hagendoorn
mesh_terms: D000328:Adult; D003560:Cysts / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008107:Liver Diseases / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D065287:Robotic Surgical Procedures / Q000379:methods*; D012720:Severity of Illness Index