"Vyu\u017Eit\u00ED robotick\u00FDch syst\u00E9m\u016F v c\u00E9vn\u00ED chirurgii"@cs . . . "4" . . . "RIV/00023884:_____/08:#0002322" . . . "Na z\u00E1klad\u011B na\u0161ich dosavadn\u00EDch robotick\u00FDch zku\u0161enost\u00ED si dovol\u00EDm tvrdit, \u017Ee lze roboticky \u00FAsp\u011B\u0161n\u011B prov\u00E1d\u011Bt c\u00E9vn\u00ED anastom\u00F3zu na aort\u011B i na p\u00E1nevn\u00ED tepn\u011B a to dokonce snadn\u011Bji ne\u017E p\u0159i klasick\u00E9 laparoskopick\u00E9 operaci. Dal\u0161\u00ED mo\u017Enost\u00ED je odstran\u011Bn\u00ED aterosklerotick\u00FDch hmot z lumen aorty nebo p\u00E1nevn\u00EDch tepen, kter\u00E9 mohou zp\u016Fsobit jejich z\u00FA\u017Een\u00ED a robotick\u00FD syst\u00E9m je tedy mo\u017En\u00E9 vyu\u017E\u00EDt k tromboendarterektomi velk\u00FDch tepen a n\u00E1sledn\u011B i pro uz\u00E1v\u011Br takto desobliterovan\u00FDch tepen c\u00E9vn\u00ED z\u00E1platou. Nem\u00E9n\u011B zaj\u00EDmavou oblast\u00ED pro robotickou c\u00E9vn\u00ED chirurgii jsou operace v\u00FDdut\u00ED b\u0159i\u0161n\u00ED aorty. V tomto p\u0159\u00EDpad\u011B se jedn\u00E1 o prov\u00E1d\u011Bn\u00ED c\u00E9vn\u00EDch anastom\u00F3z, odstran\u011Bn\u00ED trombotick\u00FDch hmot z vaku v\u00FDdut\u011B, uz\u00E1v\u011Bru lumb\u00E1ln\u00EDch tepen, kter\u00E9 po otev\u0159en\u00ED vaku v\u00FDdut\u011B zp\u011Btn\u011B krv\u00E1cej\u00ED a nakonec i uz\u00E1v\u011Br vaku v\u00FDdut\u011B aorty po rekonstrukci. V dutin\u011B b\u0159i\u0161n\u00ED je pak na z\u00E1v\u011Br u v\u0161ech v\u00FD\u0161e popsan\u00FDch v\u00FDkon\u016F provedena robotick\u00E1 sutura retroperitonea. Velice zaj\u00EDmav\u00E9 je pou\u017Eit\u00ED robotick\u00E9ho syst\u00E9mu p\u0159i rekonstrukci viscer\u00E1ln\u00EDch tepen nap\u0159\u00EDklad p\u0159i operaci v\u00FDdut\u011B slezinn\u00E9 tepny nebo rekonstrukce ledvinn\u00E9 tepny \u010Di prvn\u00ED hybridn\u00ED v\u00FDkony, kter\u00E9 pat\u0159\u00ED tak\u00E9 do spektra na\u0161ich robotick\u00FDch c\u00E9vn\u00EDch operac\u00ED ."@cs . "1"^^ . "Na z\u00E1klad\u011B na\u0161ich dosavadn\u00EDch robotick\u00FDch zku\u0161enost\u00ED si dovol\u00EDm tvrdit, \u017Ee lze roboticky \u00FAsp\u011B\u0161n\u011B prov\u00E1d\u011Bt c\u00E9vn\u00ED anastom\u00F3zu na aort\u011B i na p\u00E1nevn\u00ED tepn\u011B a to dokonce snadn\u011Bji ne\u017E p\u0159i klasick\u00E9 laparoskopick\u00E9 operaci. Dal\u0161\u00ED mo\u017Enost\u00ED je odstran\u011Bn\u00ED aterosklerotick\u00FDch hmot z lumen aorty nebo p\u00E1nevn\u00EDch tepen, kter\u00E9 mohou zp\u016Fsobit jejich z\u00FA\u017Een\u00ED a robotick\u00FD syst\u00E9m je tedy mo\u017En\u00E9 vyu\u017E\u00EDt k tromboendarterektomi velk\u00FDch tepen a n\u00E1sledn\u011B i pro uz\u00E1v\u011Br takto desobliterovan\u00FDch tepen c\u00E9vn\u00ED z\u00E1platou. Nem\u00E9n\u011B zaj\u00EDmavou oblast\u00ED pro robotickou c\u00E9vn\u00ED chirurgii jsou operace v\u00FDdut\u00ED b\u0159i\u0161n\u00ED aorty. V tomto p\u0159\u00EDpad\u011B se jedn\u00E1 o prov\u00E1d\u011Bn\u00ED c\u00E9vn\u00EDch anastom\u00F3z, odstran\u011Bn\u00ED trombotick\u00FDch hmot z vaku v\u00FDdut\u011B, uz\u00E1v\u011Bru lumb\u00E1ln\u00EDch tepen, kter\u00E9 po otev\u0159en\u00ED vaku v\u00FDdut\u011B zp\u011Btn\u011B krv\u00E1cej\u00ED a nakonec i uz\u00E1v\u011Br vaku v\u00FDdut\u011B aorty po rekonstrukci. V dutin\u011B b\u0159i\u0161n\u00ED je pak na z\u00E1v\u011Br u v\u0161ech v\u00FD\u0161e popsan\u00FDch v\u00FDkon\u016F provedena robotick\u00E1 sutura retroperitonea. Velice zaj\u00EDmav\u00E9 je pou\u017Eit\u00ED robotick\u00E9ho syst\u00E9mu p\u0159i rekonstrukci viscer\u00E1ln\u00EDch tepen nap\u0159\u00EDklad p\u0159i operaci v\u00FDdut\u011B slezinn\u00E9 tepny nebo rekonstrukce ledvinn\u00E9 tepny \u010Di prvn\u00ED hybridn\u00ED v\u00FDkony, kter\u00E9 pat\u0159\u00ED tak\u00E9 do spektra na\u0161ich robotick\u00FDch c\u00E9vn\u00EDch operac\u00ED ." . . "[1E399D117B95]" . "RIV/00023884:_____/08:#0002322!RIV12-MZ0-00023884" . . . . "Vyu\u017Eit\u00ED robotick\u00FDch syst\u00E9m\u016F v c\u00E9vn\u00ED chirurgii"@cs . "The use of robots in vascular surgery"@en . "\u0160t\u00E1dler, Petr" . "404795" . "CZ - \u010Cesk\u00E1 republika" . "Vyu\u017Eit\u00ED robotick\u00FDch syst\u00E9m\u016F v c\u00E9vn\u00ED chirurgii" . . "robotic vascular surgery, vascular anastomosis, abdominal aorta"@en . . "1"^^ . "1" . "The use of robots in vascular surgery"@en . "1"^^ . . "Vyu\u017Eit\u00ED robotick\u00FDch syst\u00E9m\u016F v c\u00E9vn\u00ED chirurgii" . . "The experience we have gained in robotic interventions so far gives us a reason to claim that vascular anastomosis can be performed robotically both on the aorta and the pelvic artery with good results and actually with more ease than classical laparoscopic surgery. Another possibility is the removal of atherosclerotic masses from the lumen of the aorta or pelvic arteries that could cause narrowing of the vessels; the robotic system can thus be used for thromboendarterectomy of large vessels and subsequent patch grafting of the desobliterated arteries. A no less interesting area of robotic surgery is abdominal aortic aneurysm surgery. In this particular case the robot is used to do vascular anastomoses, remove thrombotic masses from the aneurysmal sac, ligate the lumbar arteries that bleed back when the sac is opened and, finally, close off the sac of the aortic aneurysm after reconstruction. All the above described procedures end with the robotic suturing of the retroperitoneum in the abdominal cavity. An interesting application of the robotic system is in the reconstruction of visceral arteries, for example splenic artery aneurysm surgery and renal artery reconstruction, as well as the first hybrid procedures which have also been added to our range of robotic vascular surgery interventions."@en . "Medical tribune" . "N" . "1214-8911" .