The Robotic System da Vinci in Vascular Surgery
| Název česky | Robotický systém da Vinci v cévní chirurgii |
|---|---|
| Autoři | |
| Rok publikování | 2008 |
| Druh | Článek ve sborníku |
| Konference | European Surgery, ACA, suppl. 223/08, 1st Central European Congress of Surgery 2008 |
| Fakulta / Pracoviště MU | |
| Citace | |
| www | http://springer.at |
| Klíčová slova | robotic system; da Vinci; laparoscopic approach |
| Popis | Introduction: Robotic surgery has been more and more frequently an alternative for traditional vascular surgical interventions in the aorto-iliac-femoral region. Methods: A total of 16 patients underwent the vascular robotic surgery between May 06 and November 07. All of them were males, mean age 57,2 years. The following procedures were conducted: iliac-femoral bypass in 1 case, ao-femoral unilateral in 6 cases, ao-bifemoral in 6 and the abdominal aorta aneurysm in 3 cases. For the laparoscopic aorta preparation, transperitoneal direct approach to the aorta was used. Next step was the installation of a robotic system. After performing longitudinal aortotomy, the central anastomosis was sewn up with a robotic system, and then the retroperitoneum was closed in a robotic way. Peripheral anastomoses were sewn using a classical technique. Results: During the follow-up (median,13 months; range,1-18 months) there was no complication such as occlusion or infection of prosthesis, the postoperative mortality rate was 0 %. Conclusions: The application of a robotic system increases the accuracy of endoscopically sutured vascular anastomoses, in 3D picture. A lesser extent of preparation decreases the risks of the prosthesis infection, lower blood loss, lesser post-operative pain, shortened period of hospitalization.The disadvantage is lack of sensitivity when tightening or knotting a stitch. |