Robotic Renal Artery Aneurysm Repair.

Area of Science:

• Urology
• Vascular Surgery
• Minimally Invasive Surgery

Background:

• Renal artery aneurysm (RAA) is a rare vascular condition.
• Traditional management involves open or endovascular surgery.
• Robotic surgery offers a minimally invasive alternative.

Purpose of the Study:

• To evaluate the feasibility and outcomes of robotic repair for renal artery aneurysms.
• To report the surgical techniques and patient results.
• To assess the safety and efficacy of intracorporeal robotic surgery for RAAs.

Main Methods:

• Nine patients underwent robotic repair of 10 RAAs.
• Procedures included aneurysmectomy, end-to-end anastomosis, and reimplantation.
• Intracorporeal hypothermic renal perfusion was utilized in select cases.

Main Results:

• All repairs were completed robotically without open conversion.
• Median operative time was 3.8 hours, with minimal blood loss.
• Patients maintained preserved renal function post-operatively, with good arterial reconstruction.

Conclusions:

• Robotic repair of complex RAAs is feasible and safe.
• Success depends on surgical expertise, patient selection, and tailored reconstruction.
• Further experience is needed to define the role of robotic repair in RAA management.