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Page 6 of 10             Hamad et al. Mini-invasive Surg 2023;7:16  https://dx.doi.org/10.20517/2574-1225.2023.03

               Table 1. Published literature comparing laparoscopic choledochal cyst resections to open choledochal cyst resections
                Year  Author           Publication type             Choledochal cyst type  Sample size
                2001  Tanaka et al. [22]  Retrospective             Unspecified         8 (All L)
                           [23]
                2006  Jang et al.      Retrospective                Ia, Ic, IV          12 (All L)
                              [24]
                2008  Palanivelu et al.  Retrospective              Ib, Iva             35 (All L)
                            [25]
                2012  Hwang et al.     Retrospective                Ia, Ic, IVa         20 (All L)
                           [26]
                2013  Jang et al.      Retrospective                Ia, Ib, Ic, II, III, IV  82 (All L)
                2015  Senthilnathan et al. [27]  Retrospective      I, IVa              55 (All L)
                           [28]
                2015  Duan et al.      Retrospective                Ia, Ic              31 (All L)
                2018  Aly et al. [29]  Retrospective                Ia, IVa, IVb        36 (All L)
                              [30]
                2015  Margonis et al.  Retrospective                I, II, III, IV      368 (O: 332, MIS: 36)
                2014  Liu et al. [31]  Retrospective                Ia, Ic, IVa         74 (O: 39, L: 35)
                           [19]
                2015  Zhen et al.      Systematic review and meta-analysis  Unspecified  1408 (O: 797, L: 611)
               L: Laparoscopic; MIS: minimally invasive surgery; O: open.


























                                       Figure 3. Robotic port placement for choledochal cyst resection.


















                              Figure 4. (A) Robotic choledochal cyst resection with (B) exposure of hepatic ducts (arrow).


               the RCCR cohort ($6,568 ± 1,047 vs. $7,331 ± 720, P= 0.035). The $763 difference in cost was attributed to
               insurance reimbursement difficulties, as robotic surgery was not reimbursed by the National Health
               Insurance Corporation in South Korea. Of note, the cost for postoperative care in the study was higher in
               the LCCR group ($1,098 ± 260 vs. $716 ± 264, P = 0.001) . The authors attributed the cost difference to an
                                                               [35]
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