Lau Peter J, McGreevy James M, Thomes Pepin Jessica A, Ramaswamy Archana, Faizer Rumi
Division of Vascular Surgery, University of Minnesota, Minneapolis, MN.
Department of Surgery, M Health Fairview, Maplewood, MN.
J Vasc Surg Cases Innov Tech. 2022 Sep 29;9(2):101035. doi: 10.1016/j.jvscit.2022.09.010. eCollection 2023 Jun.
A 67-year-old woman with endometrial adenocarcinoma had sustained an aortic injury during robotically assisted retroperitoneal lymphadenectomy. Repair could not be performed laparoscopically; however, graspers were used to maintain hemostasis while conversion to open surgery was initiated. Safety mechanisms locked the graspers in place, preventing tissue release, but resulting in additional aortic injury. Forceful removal of the graspers was eventually successful, and definitive aortic repair was then performed. Vascular surgeons who are not familiar with robotic surgery techniques should be aware that removal of robotic hardware requires the use of stepwise algorithms, which, if performed out of order, can introduce significant challenges.
一名67岁的子宫内膜腺癌女性在机器人辅助腹膜后淋巴结清扫术中发生主动脉损伤。无法通过腹腔镜进行修复；然而，在开始转为开放手术时，使用抓钳来维持止血。安全机制将抓钳锁定在原位，防止组织松开，但导致了额外的主动脉损伤。最终成功强行移除了抓钳，随后进行了确定性的主动脉修复。不熟悉机器人手术技术的血管外科医生应意识到，移除机器人硬件需要使用逐步算法，如果操作顺序不当，可能会带来重大挑战。
