Robot-assisted laparoscopic vascular reconstructions in the aortoiliac region
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| Year of publication | 2011 |
| Type | Appeared in Conference without Proceedings |
| MU Faculty or unit | |
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| Description | Objective: The objective of the study was to evaluate the results of the robot-assisted laparoscopic aortoiliofemoral reconstructions in a group of 56 patients. Methods: Between May 2006 and December 2010 we operated on 56 patients at a mean age of 58 years for aortoiliac occlusive disease using robotassisted laparoscopic approach. We assessed operative and hospitalization data, patency of reconstructions and complication rate. Results: We created 28 aortobifemoral, 26 aortofemoral and two iliofemoral bypasses. In 54 cases, we completed the procedure successfully. We had to convert to open surgery twice. The median proximal anastomosis time, median clamping time and median total operative time were 25, 60 and 280 min, respectively. The median ICU stay was two days. During the follow-up period (median 16 months; range 1–57 months), we observed three early occlusions (5%) and one graft infection (2%). The secondary patency was 100%. The 30-day mortality was 0%. No renal, cardiovascular or pulmonary complications were observed. Conclusions: The da Vinci robotic system enables us to achieve acceptable proximal anastomosis and clamping time. The whole procedure remains an advanced laparoscopic surgery and previous laparoscopic experience is necessary. Robot-assisted laparoscopic aortoiliofemoral bypass grafting seems a safe method with a low complication rate. |