Endoskopie 2010; 19(1): 14-16

Robot-assisted surgery - point of view of the vascular surgean

doc.MUDr.Petr Štádler, Ph.D., MUDr.Libor Dvořáček, MUDr.Petr Vitásek, MUDr.Pavel Matouš

Oddělení cévní chirurgie, Nemocnice Na Homolce, Praha

Účel studie: Autoři se na základě svých zkušeností zamýšlejí nad současnými možnostmi roboticky asistované cévní chirurgie.

Purpose of the study: Drawing on their experience, the authors reflect on the current options of robot-assisted vascular surgery.

Applied methods: The robotic vascular surgery team has proposed surgical procedures for individual types of vascular reconstructions.

The surgeons succeeded in finding both the most favourable port placement to allow comfortable use of the robotic system, and in

modifying the currently used transperitoneal approach.

Results: There has been no mortality in the presented group; in four cases (2.7 %) it was necessary to convert to classical surgery. Four

patients (2.7 %) suffered post-operative complications. A technical fault of the robotic equipment occurred in one case (0.7 %), and in

one case (0.7 %) it was necessary to withdraw from the intervention due to an inoperable finding on the aorta.

Conclusion: From a practical point of view, the greatest benefit of robotics is the speed of performing a vascular anastomosis. The time

intervals in vascular robotics are currently comparable with classical vascular surgery; moreover, vascular robotics offers all the advantages

of mini-invasive surgery.

Keywords: laparoscopy, robot-assisted vascular surgery, system da Vinci

Published: April 28, 2010  Show citation