Laparoscopic Vascular Surgery: A Systematic Review

Nio, D.; Diks, J.; Bemelman, W. A.; Wisselink, Willem; Legemate, Dink A.

doi:10.1016/j.jvs.2007.01.028

Cited by 13 publications

(22 citation statements)

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“…Furthermore, RALS has shown to overcome a long learning curve which is associated with laparoscopic vascular surgery (Coggia et al, 2004). Even with few numbers of patients, clamping -and anastomosis time reduced significantly after only eight patients (Diks et al, 2007). These results show that robotic assistance can help conventional vascular surgeons to start up laparoscopic surgery, even without prior extensive laparoscopic experience.…”

Section: Discussionmentioning

confidence: 89%

“…It has been shown that RALS for aortoiliac disease is still in a very early stage. Operative times, although comparable to conventional laparoscopic series (Nio et al, 2007), still surpass those of open surgery by far. Furthermore, no research has been done to investigate the cost-effectiveness of a robotic surgical system.…”

Section: Medical Robotics 296mentioning

confidence: 85%

“…These studies included one case-report (Killewich et al, 2004), one small case-series (n=5) (Desgranges et al, 2004) and three larger series from Kolvenbach (n=10), Stadler (n=30) and Wisselink (n=24) (Kolvenbach et al, 2004;Stadler et al, 2006;Diks et al, submitted). Of one series earlier results were reported in separate papers (Nio et al, 2005a;Diks et al, 2007). In these studies, www.intechopen.com…”

Section: Patient Seriesmentioning

confidence: 95%

“…Various authors reported to have been practicing for several months before gaining sufficient proficiency to implement vascular laparoscopy into everyday practice (Coggia et al, 2004;Olinde et al, 2005). Robotic surgical systems have been developed to facilitate advanced laparoscopic procedures particularly suturing anastomosis as in aortoiliac laparoscopic surgery (Wisselink et al, 2002;Killewich et al, 2004;Desgranges et al, 2004;Kolvenbach et al, 2004;Ruurda et al, 2004;Nio et al, 2004;Nio et al, 2005a;Nio et al, 2005b;Stadler et al, 2006;Ishikawa et al, 2006;Mehrabi et al, 2006;Diks et al, 2007;Diks et al, submitted). This chapter reviews the use of robotic assistance in laparoscopic surgery of the aortoiliac vessels and its potentially additional value.…”

Section: Introductionmentioning

confidence: 99%

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Robot Assisted Laparoscopic Surgery for Aortoiliac Disease: A Systematic Review

Diks¹,

Nio²,

Wisselink³

et al. 2008

Medical Robotics

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Robotic systems have been used to overcome the technical difficulties in laparoscopic aortoiliac surgery. In this chapter the outcomes of clinical and experimental studies using a robotic surgical system for treatment of aortoiliac disease are reviewed. MethodsA computerized search was conducted in the medical databases Medline (from January 2000 to July 2007), Embase (from January 2000 to July 2007) and the Cochrane Database of Systematic Reviews. Operative times, ICU-stay, clamping time, blood loss, anastomosis time, time to resume to solids, hospital stay, mortality and conversion rates were described. Experimental studies reporting on the creation of an aortic anastomosis with the robotic system were included. ResultsExperimental studies on vascular anastomoses showed equal results when compared to laparoscopy using the Zeus system, whereas the da Vinci robot showed better anastomosistimes and more precise anastomoses when compared to laparoscopic surgery. Five clinical studies were identified, with in total 70 patients. Operative time varied from 188 to 480 minutes, anastomosis time was 27 to 40.8 minutes. Total hospital stay differed between 4 and 7.3 days. An overall conversion rate of 7 (10%) was reported.

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Section: Discussionmentioning

confidence: 89%

Section: Medical Robotics 296mentioning

confidence: 85%

Section: Patient Seriesmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Robot Assisted Laparoscopic Surgery for Aortoiliac Disease: A Systematic Review

Diks¹,

Nio²,

Wisselink³

et al. 2008

Medical Robotics

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show abstract

“…laparoscopic dissection with mini laparotomy; 2. hand-assisted laparoscopic ABF; 3. completely laparoscopic ABF; and 4. robot-assisted laparoscopic ABF [2,3].…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted laparoscopic aortobifemoral bypass: initial experience developing a new program

Garrett

Fernandez

Porter³

2008

J Robotic Surg

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Despite improved technology for endovascular treatment of aorto iliac occlusive disease, aortobifemoral bypass (ABF) continues to offer superior long-term patency. In an effort to reduce the morbidity of surgical ABF, multiple minimally invasive techniques have been reported. The da Vinci robot may facilitate the construction of a minimally invasive aortic anastomosis using standard vascular suture techniques. Our initial experience in the development of a minimally invasive surgical aortic reconstruction program is reported. After extensive time in the laboratory developing our surgical technique in human cadavers and a pig model, our team initiated a robotic vascular surgery program in 2007. A retrospective review of our initial six robot-assisted laparoscopic ABF cases was conducted. The aorta was exposed laparoscopically using the Stadler technique and the aortic anastomosis performed with the da Vinci robot. These results are compared with currently published reports of robotic ABF and alternative methods of minimally invasive aortic reconstruction. From January 2007 to August 2007, six robot-assisted laparoscopic ABFs were performed. Two patients had prior abdominal surgical procedures. Four patients had prior endovascular or surgical aorto iliac reconstruction. Operative time varied from 5 h 26 min to 8 h 12 min. Total clamp time, for the aortic anastomosis, ranged from 70 to 100 min with a mean of 75 min. Estimated blood loss ranged from 300 to 2,000 ml with a mean of 850 ml. Conversion with a short upper midline incision was required in one patient (16%) with an associated abdominal aortic aneurysm. Post operative length of stay ranged from five to ten days with a median of seven days. There was no operative mortality. Results from robotically assisted laparoscopic ABF are equivalent to those from other minimally invasive options while enabling a much shorter learning curve. Using the technique described, minimally invasive ABF was accomplished in a safe and reliable manner despite prior vascular treatment.

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Laparoscopic aortic surgery: Techniques and results

Cau

Ricco

Corpataux³

2008

Journal of Vascular Surgery

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Analysis of these series shows that laparoscopic aortic surgery can be performed safely provided that patient selection is adjusted to the surgeon's experience and conversion is liberally performed. The future of this technique in comparison with endovascular surgery is still unknown, and it is now time for multicenter randomized trials to demonstrate the potential benefit of this type of surgery.

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Laparoscopic Vascular Surgery: A Systematic Review

Cited by 13 publications

References 0 publications

Robot Assisted Laparoscopic Surgery for Aortoiliac Disease: A Systematic Review

Robot Assisted Laparoscopic Surgery for Aortoiliac Disease: A Systematic Review

Robot-assisted laparoscopic aortobifemoral bypass: initial experience developing a new program

Laparoscopic aortic surgery: Techniques and results

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