. . "373826" . . "RIV/00023884:_____/08:#0002678!RIV12-MZ0-00023884" . . "Matou\u0161, Pavel" . "10" . . . . . "4"^^ . "Is Robotic Surgery Appropriate for Vascular Procedures? Report of 100 Aortoiliac Cases"@en . "GB - Spojen\u00E9 kr\u00E1lovstv\u00ED Velk\u00E9 Brit\u00E1nie a Severn\u00EDho Irska" . . "4"^^ . "3"^^ . . "robot-assisted aortoiliac reconstruction, laparoscopy, da Vinci"@en . "[29634CAE2486]" . "Je robotick\u00E1 chirurgie vhodn\u00E1 pro c\u00E9vn\u00ED operace? Souhrn 100 operac\u00ED aorty a p\u00E1nevn\u00EDch tepen" . . "1078-5884" . "Vit\u00E1sek, Petr" . "36" . "Aim. The aim of our study was to evaluate our clinical experience, covering one hundred robot-assisted aortoiliac reconstructions for occlusive disease and aneurysm, performed using the da Vinci system. Material and methods. Between November 2005 and January 2008, 100 consecutive patients were scheduled to undergo robot-assisted laparoscopic aortoiliac procedures, but patients with serious medical problems and those who had previously undergone major abdominal surgery were excluded from the clinical study. Ninety patients were prospectively evaluated for arterial occlusive disease (AOD), seven patients for abdominal aortic aneurysms (AAA), two for common iliac artery aneurysms (CIAA) and one for a combination of CIAA and AOD. One patient was treated for combined incisional hernia prosthetic mesh repair with ABFB during transperitoneal robot-assisted ABFB. Dissections of the aorta and iliac arteries were performed laparoscopically using our own modified transperitoneal direct approach and the robotic system was used to construct the anastomosis, for the thromboendarterectomy and for posterior peritoneal suturing. Results Ninety-seven of 100 procedures (97%) were successfully completed robotically, while conversions were necessary in three patients (3%). The median operating time was 235 minutes (range, 150 to 360 minutes), with a median clamp-time of 42 minutes (range, 25 to 120 minutes). The median anastomosis time was 29 minutes (range, 12 to 60 minutes) and median blood loss was 430 mL (range, 50 to 1500 mL). The median intensive care unit stay was 1.7 days, and the median hospital stay was 5.1 days. A regular oral diet was resumed after a mean of 2.4 days. Thirty-day survival was 100% and non-lethal postoperative complications were observed in three patients (3%). Conclusions Robotic aortoiliac surgery appears to be safe, with a high technical success rate, with operative times and success rates comparable to c"@en . . "N" . "C\u00EDl: C\u00EDlem studie bylo vyhodnocen\u00ED 100 operac\u00ED v oblasti aorty a p\u00E1nevn\u00EDch tepen z d\u016Fvodu obliteruj\u00EDc\u00EDho posti\u017Een\u00ED nebo v\u00FDdut\u011B, kter\u00E9 byly provedeny robotick\u00FDm syst\u00E9mem Da Vinci. Metodika:Od listopadu 2005 do ledna 2008 bylo provedeno 100 roboticky asistovan\u00FDch operac\u00ED v oblasti aorty a p\u00E1nevn\u00EDch tepen. Ze studie byly vy\u0159azeni pacienty se z\u00E1va\u017En\u00FDmi p\u0159idru\u017Een\u00FDmi chorobami a nemocn\u00ED po p\u0159edch\u00E1zej\u00EDc\u00EDch velk\u00FDch nitrob\u0159i\u0161n\u00EDch operac\u00EDch. 90 pacient\u016F prod\u011Blalo z\u00E1krok z d\u016Fvodu obliteruj\u00EDc\u00EDho c\u00E9vn\u00EDho posti\u017Een\u00ED, sedm pro v\u00FDdu\u0165 b\u0159i\u0161n\u00ED aorty, dva z d\u016Fvodu v\u00FDdut\u011B p\u00E1nevn\u00ED tepny a u jednoho byla kombinace oblitereuj\u00EDc\u00EDcho posti\u017Een\u00ED aorty a v\u00FDdut\u011B p\u00E1nevn\u00ED tepny. U jednoho pacienta byl proveden hybridn\u00ED z\u00E1krok, kombinace aortofemor\u00E1ln\u00ED rekonstrukce a operace k\u00FDly v jizv\u011B. Preparace aorty a p\u00E1nevn\u00EDch tepen byla provedena laparoskopicky p\u0159i pou\u017Eit\u00ED vlastn\u00EDho modifikovan\u00E9ho transperitone\u00E1ln\u00EDho p\u0159\u00EDstupu a robotick\u00FD byl pou\u017Eit pro c\u00E9vn\u00ED anastomozu, endaarterektomii a uz\u00E1v\u011Br retroperitonea. V\u00FDsledky: Operace u 97 (97%)pacient\u016F byla \u00FAspe\u0161n\u011B dokon\u010Dena roboticky, ve t\u0159ech p\u0159\u00EDpadech (3%) bylo nutno konvertovat na otev\u0159en\u00FD zp\u016Fsob. Pr\u016Fm\u011Brn\u00FD opera\u010Dn\u00ED \u010Das byl 235 minut, pr\u016Fm\u011Brn\u00FD \u010Das svorky 42 minut, pr\u016Fm\u011Brn\u00FD \u010Das anastomozy 29 minut a pr\u016Fm\u011Brn\u00E1 krevn\u00ED ztr\u00E1ta byla 430 ml.Pr\u016Fm\u011Brn\u00FD \u010Das pobytu na JIP byl 1,7 dne a pr\u016Fm\u011Brn\u00E1 doba hospitalizace pak 5,1 dne. B\u011B\u017Enou dietu pacienti dost\u00E1vali po operaci pr\u016Fm\u011Brn\u011B po 2,4 dnu, 30 denn\u00ED mortalita byla 0% a ve t\u0159ech p\u0159\u00EDpadech (3%) se vyskytla poopera\u010Dn\u00ED komplikace. Z\u00E1v\u011Br: Robotika nab\u00EDz\u00ED bezpe\u010Dn\u00FD z\u00E1krok pro c\u00E9vn\u00EDho pacienta s \u010Dasov\u00FDmi intervaly, kter\u00E9 jsou srovnateln\u00E9 s otev\u0159enou chirurgi\u00ED. Proveden\u00ED c\u00E9vn\u00ED anastomozy je ve srovn\u00E1n\u00ED s laparoskopi\u00ED rychlej\u0161\u00ED a p\u0159esn\u011Bj\u0161\u00ED."@cs . "Je robotick\u00E1 chirurgie vhodn\u00E1 pro c\u00E9vn\u00ED operace? Souhrn 100 operac\u00ED aorty a p\u00E1nevn\u00EDch tepen"@cs . . "C\u00EDl: C\u00EDlem studie bylo vyhodnocen\u00ED 100 operac\u00ED v oblasti aorty a p\u00E1nevn\u00EDch tepen z d\u016Fvodu obliteruj\u00EDc\u00EDho posti\u017Een\u00ED nebo v\u00FDdut\u011B, kter\u00E9 byly provedeny robotick\u00FDm syst\u00E9mem Da Vinci. Metodika:Od listopadu 2005 do ledna 2008 bylo provedeno 100 roboticky asistovan\u00FDch operac\u00ED v oblasti aorty a p\u00E1nevn\u00EDch tepen. Ze studie byly vy\u0159azeni pacienty se z\u00E1va\u017En\u00FDmi p\u0159idru\u017Een\u00FDmi chorobami a nemocn\u00ED po p\u0159edch\u00E1zej\u00EDc\u00EDch velk\u00FDch nitrob\u0159i\u0161n\u00EDch operac\u00EDch. 90 pacient\u016F prod\u011Blalo z\u00E1krok z d\u016Fvodu obliteruj\u00EDc\u00EDho c\u00E9vn\u00EDho posti\u017Een\u00ED, sedm pro v\u00FDdu\u0165 b\u0159i\u0161n\u00ED aorty, dva z d\u016Fvodu v\u00FDdut\u011B p\u00E1nevn\u00ED tepny a u jednoho byla kombinace oblitereuj\u00EDc\u00EDcho posti\u017Een\u00ED aorty a v\u00FDdut\u011B p\u00E1nevn\u00ED tepny. U jednoho pacienta byl proveden hybridn\u00ED z\u00E1krok, kombinace aortofemor\u00E1ln\u00ED rekonstrukce a operace k\u00FDly v jizv\u011B. Preparace aorty a p\u00E1nevn\u00EDch tepen byla provedena laparoskopicky p\u0159i pou\u017Eit\u00ED vlastn\u00EDho modifikovan\u00E9ho transperitone\u00E1ln\u00EDho p\u0159\u00EDstupu a robotick\u00FD byl pou\u017Eit pro c\u00E9vn\u00ED anastomozu, endaarterektomii a uz\u00E1v\u011Br retroperitonea. V\u00FDsledky: Operace u 97 (97%)pacient\u016F byla \u00FAspe\u0161n\u011B dokon\u010Dena roboticky, ve t\u0159ech p\u0159\u00EDpadech (3%) bylo nutno konvertovat na otev\u0159en\u00FD zp\u016Fsob. Pr\u016Fm\u011Brn\u00FD opera\u010Dn\u00ED \u010Das byl 235 minut, pr\u016Fm\u011Brn\u00FD \u010Das svorky 42 minut, pr\u016Fm\u011Brn\u00FD \u010Das anastomozy 29 minut a pr\u016Fm\u011Brn\u00E1 krevn\u00ED ztr\u00E1ta byla 430 ml.Pr\u016Fm\u011Brn\u00FD \u010Das pobytu na JIP byl 1,7 dne a pr\u016Fm\u011Brn\u00E1 doba hospitalizace pak 5,1 dne. B\u011B\u017Enou dietu pacienti dost\u00E1vali po operaci pr\u016Fm\u011Brn\u011B po 2,4 dnu, 30 denn\u00ED mortalita byla 0% a ve t\u0159ech p\u0159\u00EDpadech (3%) se vyskytla poopera\u010Dn\u00ED komplikace. Z\u00E1v\u011Br: Robotika nab\u00EDz\u00ED bezpe\u010Dn\u00FD z\u00E1krok pro c\u00E9vn\u00EDho pacienta s \u010Dasov\u00FDmi intervaly, kter\u00E9 jsou srovnateln\u00E9 s otev\u0159enou chirurgi\u00ED. Proveden\u00ED c\u00E9vn\u00ED anastomozy je ve srovn\u00E1n\u00ED s laparoskopi\u00ED rychlej\u0161\u00ED a p\u0159esn\u011Bj\u0161\u00ED." . . . "RIV/00023884:_____/08:#0002678" . "Je robotick\u00E1 chirurgie vhodn\u00E1 pro c\u00E9vn\u00ED operace? Souhrn 100 operac\u00ED aorty a p\u00E1nevn\u00EDch tepen"@cs . "Je robotick\u00E1 chirurgie vhodn\u00E1 pro c\u00E9vn\u00ED operace? Souhrn 100 operac\u00ED aorty a p\u00E1nevn\u00EDch tepen" . "Is Robotic Surgery Appropriate for Vascular Procedures? Report of 100 Aortoiliac Cases"@en . . "\u0160t\u00E1dler, Petr" . "Europ. Journal of Vascular a. Endovascular Surgery" .