The Robotic System da Vinci in Vascular Surgery
DVOŘÁK, Martin, Tomáš NOVOTNÝ, Zdeněk KŘÍŽ, Robert STAFFA, Robert VLACHOVSKÝ a Zdeněk GREGOR. The Robotic System da Vinci in Vascular Surgery. In European Surgery, ACA, suppl. 223/08, 1st Central European Congress of Surgery 2008. 2008. vyd. 2008, 1 s. ISSN 1682-8631. |
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Základní údaje | |
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Originální název | The Robotic System da Vinci in Vascular Surgery |
Název česky | Robotický systém da Vinci v cévní chirurgii |
Název anglicky | The Robotic System da Vinci in Vascular Surgery |
Autoři | DVOŘÁK, Martin, Tomáš NOVOTNÝ, Zdeněk KŘÍŽ, Robert STAFFA, Robert VLACHOVSKÝ a Zdeněk GREGOR. |
Vydání | 2008. vyd. European Surgery, ACA, suppl. 223/08, 1st Central European Congress of Surgery 2008, 1 s. 2008. |
Další údaje | |
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Typ výsledku | Stať ve sborníku |
Utajení | není předmětem státního či obchodního tajemství |
WWW | URL |
Organizační jednotka | Lékařská fakulta |
ISSN | 1682-8631 |
Klíčová slova anglicky | robotic system; da Vinci; laparoscopic approach |
Štítky | da Vinci, laparoscopic approach, robotic system |
Příznaky | Mezinárodní význam |
Změnil | Změnil: MUDr. Martin Dvořák, Ph.D., učo 1829. Změněno: 10. 2. 2009 00:08. |
Anotace anglicky |
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Introduction: Robotic surgery has been more and more frequently an alternative for traditional vascular surgical interventions in the aorto-iliac-femoral region. Methods: A total of 16 patients underwent the vascular robotic surgery between May 06 and November 07. All of them were males, mean age 57,2 years. The following procedures were conducted: iliac-femoral bypass in 1 case, ao-femoral unilateral in 6 cases, ao-bifemoral in 6 and the abdominal aorta aneurysm in 3 cases. For the laparoscopic aorta preparation, transperitoneal direct approach to the aorta was used. Next step was the installation of a robotic system. After performing longitudinal aortotomy, the central anastomosis was sewn up with a robotic system, and then the retroperitoneum was closed in a robotic way. Peripheral anastomoses were sewn using a classical technique. Results: During the follow-up (median,13 months; range,1-18 months) there was no complication such as occlusion or infection of prosthesis, the postoperative mortality rate was 0 %. Conclusions: The application of a robotic system increases the accuracy of endoscopically sutured vascular anastomoses, in 3D picture. A lesser extent of preparation decreases the risks of the prosthesis infection, lower blood loss, lesser post-operative pain, shortened period of hospitalization.The disadvantage is lack of sensitivity when tightening or knotting a stitch. |
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