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Robotic inferior vena cava surgery.

Victor J Davila1, Cristine S Velazco1, William M Stone1

  • 1Division of Vascular Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz.

Journal of Vascular Surgery. Venous and Lymphatic Disorders
|February 20, 2017
PubMed
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Robotic surgery for the inferior vena cava (IVC) is a novel approach for complex cases like renal cell carcinoma with IVC extension or malpositioned IVC filters. This study shows robotic IVC procedures are safe and effective.

Area of Science:

  • Minimally Invasive Surgery
  • Urologic Oncology
  • Vascular Surgery

Background:

  • Inferior vena cava (IVC) surgery is traditionally performed via open approaches.
  • Indications include renal cell carcinoma with IVC extension and malpositioned IVC filters.
  • Robotic surgery offers a minimally invasive alternative.

Purpose of the Study:

  • To evaluate the safety and efficacy of robotic surgery for IVC procedures.
  • To review institutional experience with robotic IVC interventions.

Main Methods:

  • Retrospective review of patients undergoing robotic IVC surgery (2011-2014).
  • Data collected on demographics, operative details, and outcomes.
  • Procedures included IVC tumor thrombus removal and IVC filter explantation.

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Main Results:

  • Ten patients underwent robotic IVC procedures.
  • Seven for IVC tumor thrombus removal (mean age 65.4 years), three for IVC filter removal (mean age 33 years).
  • All procedures were completed robotically with acceptable operative times, blood loss, and short hospital stays (mean 3.5 days).

Conclusions:

  • Robotic surgery for the IVC is an uncommon but feasible approach.
  • Initial experience suggests robotic IVC surgery is safe and efficacious.
  • Further research can explore expanded applications of robotic technology in IVC surgery.