Lin Judith C, Reddy Daniel J, Eun Daniel, Fumo Michael, Menon Mani
Division of Vascular Surgery, Henry Ford Hospital, Detroit, Michigan 48202, USA.
Ann Vasc Surg. 2009 May-Jun;23(3):298-302. doi: 10.1016/j.avsg.2008.04.019. Epub 2008 Sep 19.
We report our initial experience with a novel robotic-assisted dissection of the infrarenal aorta and iliac arteries for the treatment of aortoiliac occlusive disease and abdominal aortoiliac aneurysm. Seven patients underwent the procedure using the da Vinci Surgical System. Transabdominal, retroperitonal dissection of the aorta and iliac arteries was completed using the robotic system; then, a mini-laparotomy and hand-sewn aorta-to-graft anastomosis were performed. There was no mortality in this series of patients. This novel technique may overcome the difficulty of aortic dissection in a purely laparoscopic aortic surgery and serves as a bridging step toward totally robotic-assisted aortic surgery.
我们报告了使用新型机器人辅助技术进行肾下腹主动脉和髂动脉解剖以治疗主髂动脉闭塞性疾病和腹主动脉瘤的初步经验。7例患者使用达芬奇手术系统接受了该手术。使用机器人系统完成了经腹、腹膜后主动脉和髂动脉的解剖；然后，进行了小切口剖腹手术并手工缝合主动脉与移植物的吻合。该系列患者无死亡病例。这种新技术可能克服单纯腹腔镜主动脉手术中主动脉解剖的困难，并作为迈向完全机器人辅助主动脉手术的过渡步骤。
