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Vascular Surgery 2019
March 28-29, 2019
Rome, Italy
Vascular Surgery
4
th
Edition of World Congress & Exhibition on
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
Page 26
Robotic vascular surgery
Petr Štádler
Na Homolce Hospital, Czech Republic
Objectives:
The da Vinci system has been used by a
variety of disciplines for laparoscopic procedures but
the use of robots in vascular surgery is still relatively
unknown. The feasibility of laparoscopic aortic
surgery with robotic assistance has been sufficiently
demonstrated. Our clinical experience with robot-
assisted vascular surgery performed using the da Vinci
system is herein described.
Methods:
Between November 2005 and September
2018, we performed 437 robot-assisted vascular
procedures. 291 patients were prospectively evaluated
forocclusivediseases,111patientsforabdominalaortic
aneurysm, 5 for a common iliac artery aneurysm, 9 for a
splenic artery aneurysm, 1 for internal mammary artery
aneurysm, 8 for median arcuate ligament re-lease, 8 for
endoleak type II treatment post EVAR, 2 for renal artery
reconstruction and two cases were inoperable. 5 hybrid
procedures in study were performed.
Results:
417 cases (96%) were successfully completed
robotically, 1 patient’s surgery (0.25%) was discontinued
during laparoscopy due to heavy aortic calcification.
In 16 patients (3.7%) conversion was necessary. The
thirty-day mortality rate was 0.5% (2 patients), and early
non-lethal postoperative complications were observed
in 7 patients (1.6%).
Conclusions:
Our experience with robot-assisted
laparoscopic surgery has demonstrated the feasibility
of this technique for occlusive diseases, aneurysms,
endoleak II treatment post EVAR, for median arcuate
ligament release and hybrid procedures.
Recent Publications:
1. Štádler P, Dvořáček L, Vitásek P and Matouš
P (2016) Robot assisted aortic and non-aortic
vascular operations. Eur J Vasc Endovasc
Surg. 52(1):22-8.
Petr Štádler, J Vasc Endovasc Therapy 2019, Volume 4
DOI: 10.21767/2573-4482-C1-004
Figure 1:
The central anastomosis of the robotic
abdominal aortic aneurysm repair.