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The Robotic System da Vinci in Vascular Surgery

Název česky Robotický systém da Vinci v cévní chirurgii
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DVOŘÁK Martin NOVOTNÝ Tomáš KŘÍŽ Zdeněk STAFFA Robert VLACHOVSKÝ Robert GREGOR Zdeněk

Rok publikování 2008
Druh Článek ve sborníku
Konference European Surgery, ACA, suppl. 223/08, 1st Central European Congress of Surgery 2008
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www http://springer.at
Klíčová slova robotic system; da Vinci; laparoscopic approach
Popis Introduction: Robotic surgery has been more and more frequently an alternative for traditional vascular surgical interventions in the aorto-iliac-femoral region. Methods: A total of 16 patients underwent the vascular robotic surgery between May 06 and November 07. All of them were males, mean age 57,2 years. The following procedures were conducted: iliac-femoral bypass in 1 case, ao-femoral unilateral in 6 cases, ao-bifemoral in 6 and the abdominal aorta aneurysm in 3 cases. For the laparoscopic aorta preparation, transperitoneal direct approach to the aorta was used. Next step was the installation of a robotic system. After performing longitudinal aortotomy, the central anastomosis was sewn up with a robotic system, and then the retroperitoneum was closed in a robotic way. Peripheral anastomoses were sewn using a classical technique. Results: During the follow-up (median,13 months; range,1-18 months) there was no complication such as occlusion or infection of prosthesis, the postoperative mortality rate was 0 %. Conclusions: The application of a robotic system increases the accuracy of endoscopically sutured vascular anastomoses, in 3D picture. A lesser extent of preparation decreases the risks of the prosthesis infection, lower blood loss, lesser post-operative pain, shortened period of hospitalization.The disadvantage is lack of sensitivity when tightening or knotting a stitch.

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