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Robotic Assisted Laparoscopic Splenic Artery Aneurysm Resection.

Jacob B Watson1, Paras Gupta2, Balazs Lengyel3

  • 1Cardiovascular Surgery, Houston Methodist Hospital; jbwatson@houstonmethodist.org.

Journal of Visualized Experiments : Jove
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Summary

Robotic-assisted laparoscopic surgery offers a minimally invasive option for splenic artery aneurysms (SAA). This approach successfully managed a complex distal SAA in a young woman, demonstrating its feasibility and efficacy.

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Area of Science:

  • Vascular Surgery
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Splenic artery aneurysms (SAA) are the most common visceral aneurysms.
  • Risk of rupture and complications increases with size (>3 cm), pregnancy, or pseudoaneurysm appearance.
  • Traditional treatments include open and endovascular repair.

Purpose of the Study:

  • To present the technical details, challenges, and outcomes of treating a splenic artery aneurysm (SAA) using robotic-assisted laparoscopic surgery.
  • To highlight the feasibility and efficacy of this minimally invasive approach for select SAA cases.

Main Methods:

  • A case presentation of a 38-year-old woman with an incidentally found 2.2 cm distal splenic artery aneurysm.
  • Robotic-assisted laparoscopic excision of the splenic artery aneurysm using the DaVinci surgical system.
  • Detailed visualization, dissection, and vascular control techniques were employed.

Main Results:

  • Successful robotic-assisted laparoscopic excision of the splenic artery aneurysm was achieved.
  • The minimally invasive approach provided precise visualization and management of a complex, tortuous aneurysm.
  • The patient's specific needs, including plans for future pregnancy, were addressed by avoiding repeated imaging.

Conclusions:

  • Robotic-assisted laparoscopic surgery is a valuable approach for definitive management of distal splenic artery aneurysms.
  • This technique is particularly effective for aneurysms involving highly tortuous vessels, offering an alternative to open surgery.
  • Robotic surgery enables precise control and management of challenging splenic artery aneurysms.