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Updated: Aug 26, 2025

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Unique robotic vascular surgery procedures.

P Štádler, P Vitásek, P Matouš

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |October 8, 2022
    PubMed
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    Robot-assisted surgery is effective for rare vascular procedures, including complex aneurysms and reconstructions. Extensive surgeon experience is crucial for optimal outcomes in these unique operations.

    Area of Science:

    • Vascular Surgery
    • Minimally Invasive Surgery
    • Robotic Surgery

    Background:

    • Robot-assisted vascular surgery enables unique procedures.
    • Authors share experience with novel robotic vascular operations.

    Purpose of the Study:

    • To present unique robotic vascular procedures.
    • To evaluate the feasibility and outcomes of rare robotic vascular operations.

    Main Methods:

    • A total of 560 robotic vascular procedures were performed between November 2005 and February 2022.
    • 70 (12.5%) were considered orphan operations, including coeliac trunk decompression, endoleak repair, and splenic artery aneurysm repair.
    • Unique procedures included renal artery reconstruction and internal mammary artery aneurysm repair.
    Keywords:
    minimally invasive vascular surgeryrobotic surgeryrobotic vascular surgery

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    Main Results:

    • Conversion to open surgery occurred in 3 cases (4.2%) due to adhesions or high-risk anatomy.
    • Zero mortality was observed in the cohort.
    • One patient required laparoscopic diaphragm repair; another needed open surgery for persistent endoleak.

    Conclusions:

    • Robotic systems offer advantages for less frequent vascular procedures.
    • Extensive experience and anatomical knowledge are essential for rare robotic operations.
    • Patient benefits from minimally invasive approaches in complex cases.