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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
|September 1, 2025
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.
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.
