Is Robotic Surgery Appropriate for Vascular Procedures? Report of 100 Aortoiliac Cases

Abstract

Robotic aortoiliac surgery appears to be safe, with a high technical success rate, with operative times and success rates comparable to conventional open surgery. The creation of the aortoiliac anastomosis appears to be quicker, and more accurate than regular laparoscopic techniques.

A systematic review of endovascular treatment of extensive aortoiliac occlusive disease

“…42,43 Laparoscopic aortic surgery without or with robot-assistance has been developed as a minimal invasive option for AIOD, reducing operative trauma and facilitating quicker ambulation. [44][45][46] Long-term follow-up results are scarce, however, and more data are required to define the value of (robot-assisted) laparoscopic aortic surgery.…”

Robotic-assisted aortic surgery with and without minilaparotomy for complicated occlusive disease and aneurysm

“…[9][10][11][12] Published reports of roboticassisted aortic surgery involve a combination of laparoscopy for aortic dissection and a robotic system for vascular reconstruction. 13,14 Currently, the usage for robotic-assisted aortic surgery includes failure of previous stenting or TASC C and D for AIOD, a large aneurysm in a relatively healthy individual, and individuals with enlargement of the aneurysm sac after endograft exclusion. This study was conducted to determine the feasibility and advantage of total robotic-assisted The upper right insert shows port placement for the robotic and laparoscopic instruments: 1, proximal aortic clamp; 2, assistant port for retracting and suctioning; 3, assistant port for the stapling device; 4, distal aortic clamp; 5, robotic left arm; 6, robotic camera; and 7, robotic right arm.…”

The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease

“…[4][5][6] Robotic operating systems help us with tissue manipulation in small spaces and improve our endoscopic precision. 7,8 Thanks to 3-dimensional (3D) visualization and EndoWrist (Intuitive Surgical Inc, Sunnyvale, Calif) instruments, we can perform challenging laparoscopic techniques more easily with shortened learning curves. 9 In this article, we present our experience with robotassisted vascular reconstructions of the aortoiliofemoral region.…”