This case demonstrates robotic cholecystectomy for symptomatic cholelithiasis in a 48-year-old female patient with obesity (BMI 36) and a three-year history of progressive intermittent post-prandial right upper quadrant pain.

Diagnostic evaluation included abdominal ultrasound, which demonstrated cholelithiasis without evidence of acute cholecystitis or biliary obstruction, consistent with symptomatic gallstone disease (biliary colic).

Symptomatic cholelithiasis is a common condition, and minimally invasive cholecystectomy is one of the most frequently performed outpatient operations in general surgery. When symptoms develop, elective cholecystectomy is recommended because gallstone disease may progress to more serious complications, including acute cholecystitis, choledocholithiasis, gallstone pancreatitis, or cholangitis, which can increase both morbidity and procedural complexity.

The operation was performed using a robotic minimally invasive approach, which provides enhanced visualization and instrument articulation during dissection of the hepatocystic triangle.

Key steps demonstrated in this video include:

• Exposure of the hepatocystic triangle

• Identification of the cystic duct and cystic artery

• Achievement of the critical view of safety

• Secure ligation and division of the cystic structures

• Gallbladder removal from the hepatic bed

Robotic cholecystectomy is a routine outpatient operation that allows safe treatment of symptomatic gallstone disease while facilitating rapid recovery.