PMID- 33836224
OWN - NLM
STAT- MEDLINE
DCOM- 20211231
LR  - 20211231
IS  - 1615-5947 (Electronic)
IS  - 0890-5096 (Linking)
VI  - 74
DP  - 2021 Jul
TI  - Robotic Surgery For in situ Renal Artery Aneurysm Repair: Technical Note and 
      Literature Review About a Mini- Invasive Alternative.
PG  - 526.e7-526.e12
LID - S0890-5096(21)00270-3 [pii]
LID - 10.1016/j.avsg.2021.03.014 [doi]
AB  - CASE REPORT: Classical surgical options for renal artery aneurysm (RAA) are 
      usually restricted to endovascular surgery or open repair, either using an 
      in-situ or ex-situ approach. A 45-year-old woman presenting with a 20-mm complex 
      RAA with hilum location, not suitable for endovascular repair renal was treated 
      with a mini-invasive robotic approach. This approach allowed an in-situ 
      reconstruction in a complete mini-invasive manner with the Da Vinci Xi robot 
      (Intuitive Surgical, Sunnyvale, CA). The robotic system was used for both 
      surgical exposure and aneurysmectomy with patch closure. Clamping time was 38 
      minutes (warm ischemia), total operative time was 210 minutes. LIITERATURE 
      REVIEW: A comprehensive literature review was performed concerning the studies 
      reporting a robotic approach for RAA. Main outcomes of interest were surgical 
      technique, total operative time, clamping time, blood loss and postoperative 
      renal function. Seven studies were identified, reporting a total of 20 RAAs. Most 
      of the RAA were treated by aneurysmoraphy (n=9). Median total operative time 
      varied between 228 and 300 min (range: 155 - 360 minutes), median clamping time 
      varied between 26 and 44 minutes (range: 10 - 82 minutes). Median blood loss was 
      comprised between100 and 150 mL (range: 25 - 650 mL). No alteration of renal 
      function in the early post-operative period was reported. CONCLUSION: RAA in-situ 
      repair with a robotic approach is feasible and safe and should be considered as 
      an alternative to open surgical repair when endovascular technique cannot be an 
      option.
CI  - Copyright (c) 2021 Elsevier Inc. All rights reserved.
FAU - Grandhomme, Jonathan
AU  - Grandhomme J
AD  - Department of Vascular Surgery and Kidney Transplantation, University of 
      Strasbourg, Strasbourg, France; Groupe Europeen de Recherche sur les Protheses 
      appliquees a la Chirurgie Vasculaire, Strasbourg, France. Electronic address: 
      jonathan.grandhomme@chru-strasbourg.fr.
FAU - Lejay, Anne
AU  - Lejay A
AD  - Department of Vascular Surgery and Kidney Transplantation, University of 
      Strasbourg, Strasbourg, France; Groupe Europeen de Recherche sur les Protheses 
      appliquees a la Chirurgie Vasculaire, Strasbourg, France.
FAU - Gogeneata, Ioan
AU  - Gogeneata I
AD  - Department of Vascular Surgery and Kidney Transplantation, University of 
      Strasbourg, Strasbourg, France; Groupe Europeen de Recherche sur les Protheses 
      appliquees a la Chirurgie Vasculaire, Strasbourg, France.
FAU - Steinmetz, Lydie
AU  - Steinmetz L
AD  - Department of Vascular Surgery and Kidney Transplantation, University of 
      Strasbourg, Strasbourg, France; Groupe Europeen de Recherche sur les Protheses 
      appliquees a la Chirurgie Vasculaire, Strasbourg, France.
FAU - Georg, Yannick
AU  - Georg Y
AD  - Department of Vascular Surgery and Kidney Transplantation, University of 
      Strasbourg, Strasbourg, France; Groupe Europeen de Recherche sur les Protheses 
      appliquees a la Chirurgie Vasculaire, Strasbourg, France.
FAU - Chakfe, Nabil
AU  - Chakfe N
AD  - Department of Vascular Surgery and Kidney Transplantation, University of 
      Strasbourg, Strasbourg, France; Groupe Europeen de Recherche sur les Protheses 
      appliquees a la Chirurgie Vasculaire, Strasbourg, France.
FAU - Thaveau, Fabien
AU  - Thaveau F
AD  - Department of Vascular Surgery and Kidney Transplantation, University of 
      Strasbourg, Strasbourg, France; Groupe Europeen de Recherche sur les Protheses 
      appliquees a la Chirurgie Vasculaire, Strasbourg, France.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20210406
PL  - Netherlands
TA  - Ann Vasc Surg
JT  - Annals of vascular surgery
JID - 8703941
SB  - IM
MH  - Aneurysm/diagnostic imaging/*surgery
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Renal Artery/diagnostic imaging/*surgery
MH  - *Robotic Surgical Procedures
MH  - Treatment Outcome
MH  - *Vascular Surgical Procedures
EDAT- 2021/04/10 06:00
MHDA- 2022/01/01 06:00
CRDT- 2021/04/09 20:09
PHST- 2020/11/18 00:00 [received]
PHST- 2021/01/19 00:00 [revised]
PHST- 2021/03/07 00:00 [accepted]
PHST- 2021/04/10 06:00 [pubmed]
PHST- 2022/01/01 06:00 [medline]
PHST- 2021/04/09 20:09 [entrez]
AID - S0890-5096(21)00270-3 [pii]
AID - 10.1016/j.avsg.2021.03.014 [doi]
PST - ppublish
SO  - Ann Vasc Surg. 2021 Jul;74:526.e7-526.e12. doi: 10.1016/j.avsg.2021.03.014. Epub 
      2021 Apr 6.