Faculty:
Dr. Manish D Sharma – HOD (Minimal Access, General, Robotic & Bariatric Surgery)

Presenting / Chief Complaints:
The patient, a 30-year-old female, presented with intermittent right upper quadrant abdominal pain, vomiting sensations, and post-meal heaviness.

Clinical Findings:

• Thick-walled, distended gall bladder.
• Two gallstones (3–12 mm) with sludge.
• Impacted stone at the cystic duct neck.
• Adhesions with omentum.
• Normal CBD.

Diagnosis:
Calculus Cholecystitis with an impacted stone at the cystic duct neck.

Treatment Performed:
The patient underwent Robotic Assisted Cholecystectomy under General Anaesthesia for definitive surgical management.

Intra-Operative Key Highlights:

• Impacted stone at the cystic duct neck posing technical difficulty.
• Wide cystic duct requiring careful robotic dissection.
• Dense adhesions managed safely with robotic precision.
• Normal cystic artery and CBD preserved.
• Successful completion without complications.

Special Note:
This case highlights the safe and effective use of Robotic-Assisted Surgery in managing Calculous Cholecystitis with an impacted cystic duct stone.
Robotic precision enabled meticulous dissection of Calot’s triangle, minimised tissue trauma, and ensured a smooth postoperative recovery at RG PITAMPURA.

Highlights Of Robotic Biliary Surgery at RG Pitampura:

• Enhanced safety in cases with impacted cystic duct stones.
• Superior visualisation for precise Calot’s triangle dissection.
• Reduced tissue trauma and faster recovery.
• Effective management even in patients with prior abdominal surgery (LSCS).
• Showcases Dr. Manish D Sharma and RG Pitampura’s expertise in Advanced Robotic Biliary Surgery.