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Robot assisted Aortic and Non-aortic Vascular Operations.
P Štádler1, L Dvořáček1, P Vitásek1
1Department of Vascular Surgery, Na Homolce Hospital, Prague, Czech Republic.
Summary
Robot-assisted surgery in vascular procedures, including occlusive disease and aneurysm repair, demonstrates feasibility and advantages in anastomosis construction. This technique offers speed and simplicity, proving effective across various vascular surgery applications.
Area of Science:
- Vascular Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic systems like the da Vinci are increasingly used across disciplines.
- Application of robotic technology in vascular surgery remains less common.
- This study evaluates clinical experience with robot-assisted vascular procedures.
Purpose of the Study:
- To assess the feasibility and outcomes of robot-assisted vascular surgery.
- To evaluate the clinical experience with 310 robot-assisted vascular procedures.
- To compare robot-assisted procedures for occlusive disease versus aneurysms.
Main Methods:
- 310 robot-assisted vascular operations were performed between November 2005 and May 2014.
- Procedures included treatment for occlusive disease (Group I), aorto-iliac aneurysms (Group II), and other conditions (Group III).
- Patients were prospectively evaluated, with comparisons between Group I and Group II.
Main Results:
- 96.1% of cases were completed robotically, with a 3.2% conversion rate.
- Low 30-day mortality (0.3%) and late prosthetic infections (0.6%) were observed.
- Robot-assisted vascular surgery showed varying operative times and blood loss between procedure groups.
Conclusions:
- Robot-assisted procedures offer speed and simplicity, particularly in vascular anastomosis construction.
- The technique is feasible for various applications within vascular surgery.
- This experience supports the broader adoption of robotic assistance in vascular interventions.
