. . "Objective: The feasibility of robotically assisted laparoscopic aortic surgery has already been adequately demonstrated. Our clinical experience with robot-assisted aortoiliac reconstruction for occlusive diseases, aneurysms, and hybrid procedures performed using the Da Vinci system is described below. Methods: Between November 2005 and November 2011, we performed 225 robot-assisted laparoscopic aortoiliac procedures. One hundred seventy-four patients were prospectively evaluated for occlusive diseases, 43 patients for abdominal aortic aneurysm, two for common iliac artery aneurysm, two for splenic artery aneurysm, three for hybrid procedures, and one for endoleak II treatment after endovascular aneurysm repair. The robotic system was applied to construct the vascular anastomosis for thromboendarterectomy, for aortoiliac reconstruction with a closure patch, for dissection of the splenic artery, and for posterior peritoneal suturing. A combination of conventional laparoscopic surgeries and robotic surgeries was routinely included. A modified fully robotic approach without laparoscopic surgery was used in the last 55 cases in our series. Results: Two hundred seventeen cases (96%) were successfully completed robotically; one patient s surgery was discontinued during laparoscopy because of heavy aortic calcification. In seven patients (3%), conversion was necessary. The 30-day mortality rate was 0.4%, and nonlethal postoperative complications were observed in 10 patients (4.4%). Conclusions: Our experience with robot-assisted laparoscopic surgery has demonstrated the feasibility of this technique for aortoiliac vascular and hybrid procedures. Compared with purely laparoscopic techniques, the Da Vinci robotic system facilitated the creation of the aortic anastomosis and shortened the aortic clamping time."@en . . . . "4"^^ . . . "4"^^ . "Schopnost roboticky asistovan\u00E9 aort\u00E1ln\u00ED chirurgie byla v minulosti adekv\u00E1tn\u011B demonstrov\u00E1na. V uveden\u00E9 pr\u00E1ci jsou shrnuty zku\u0161enosti roboticky asistovan\u00FDch aortoiliack\u00FDch v\u00FDkon\u016F proveden\u00FDch robotem da Vinci z d\u016Fvodu obliteruj\u00EDc\u00EDho a aneuryzmatick\u00E9ho posti\u017Een\u00ED a i hybridn\u00ED operace. Metodika: V obdob\u00ED od listopadu 2005 do listopadu 2011 jsme provedli 225 roboticky asistovan\u00FDch laparoskopick\u00FDch aortoiliack\u00FDch v\u00FDkon\u016F. 174 pacient\u016F bylo l\u00E9\u010Deno pro obliteruj\u00EDc\u00ED posti\u017Een\u00ED, 43 pro v\u00FDdu\u0165 b\u0159i\u0161n\u00ED aorty, dva pro v\u00FDdu\u0165 spole\u010Dn\u00E9 p\u00E1nevn\u00ED tepny, dva pro v\u00FDdu\u0165 slezinn\u00E9 tepny, t\u0159i hybridn\u00ED v\u00FDkony a jedno o\u0161et\u0159en\u00ED endoleaku typu II po endovaskul\u00E1rn\u00ED l\u00E9\u010Db\u011B. Robotick\u00FD syst\u00E9m byl vyu\u017Eit ke konstrukci c\u00E9vn\u00ED anastomozy, k aortoiliack\u00E9 rekonstrukci s pou\u017Eit\u00EDm z\u00E1platy, k preparaci slezinn\u00E9 tepny a k uz\u00E1v\u011Bru retroperitonea.Standardn\u011B byla pou\u017Eita kombinace klasick\u00E9 laparoskopie a robotiky. Modifikovan\u00FD pln\u011B robotick\u00FD p\u0159\u00EDstup byl pou\u017Eit u posledn\u00EDch 55 operac\u00ED. V\u00FDsledky: 217 operac\u00ED (96%) bylo \u00FAsp\u0161n\u011B doko\u010Deno roboticky; jedna operace byla p\u0159eru\u0161ena v pr\u016Fb\u011Bhu laparoskopick\u00E9 \u010D\u00E1sti z d\u016Fvodu t\u011B\u017Ek\u00E9 kalcifikace aorty. V sedmi p\u0159\u00EDpadech (3%) byla nezbytn\u00E1 konverze na otev\u0159enou operaci. 30-ti denn\u00ED \u00FAmrtnost byla 0,4% a poopera\u010Dn\u00ED komplikace byla u 10 pacient\u016F (4,4%). Z\u00E1v\u011Br: Na\u0161e zku\u0161enosti v oblasti roboticky asistovan\u00E9 laparoskopick\u00E9 chirurgii ukazuj\u00ED dostupnost prov\u00E1d\u011Bn\u00ED t\u011Bchto operac\u00ED v aortoiliack\u00E9 chirurgii i u hybridn\u00EDch v\u00FDkon\u016F. Ve srovn\u00E1n\u00ED s laparoskopi\u00ED uleh\u010Duje Da Vinci robot proveden\u00ED c\u00E9vn\u00ED anaston\u00F3zy a zkracuje \u010Das nalo\u017Een\u00E9 aort\u00E1ln\u00ED svorky." . . "Vyu\u017Eit\u00ED robotick\u00E9 chirurgie v v c\u00E9vn\u00ED problematice"@cs . "7"^^ . . "4" . "Schopnost roboticky asistovan\u00E9 aort\u00E1ln\u00ED chirurgie byla v minulosti adekv\u00E1tn\u011B demonstrov\u00E1na. V uveden\u00E9 pr\u00E1ci jsou shrnuty zku\u0161enosti roboticky asistovan\u00FDch aortoiliack\u00FDch v\u00FDkon\u016F proveden\u00FDch robotem da Vinci z d\u016Fvodu obliteruj\u00EDc\u00EDho a aneuryzmatick\u00E9ho posti\u017Een\u00ED a i hybridn\u00ED operace. Metodika: V obdob\u00ED od listopadu 2005 do listopadu 2011 jsme provedli 225 roboticky asistovan\u00FDch laparoskopick\u00FDch aortoiliack\u00FDch v\u00FDkon\u016F. 174 pacient\u016F bylo l\u00E9\u010Deno pro obliteruj\u00EDc\u00ED posti\u017Een\u00ED, 43 pro v\u00FDdu\u0165 b\u0159i\u0161n\u00ED aorty, dva pro v\u00FDdu\u0165 spole\u010Dn\u00E9 p\u00E1nevn\u00ED tepny, dva pro v\u00FDdu\u0165 slezinn\u00E9 tepny, t\u0159i hybridn\u00ED v\u00FDkony a jedno o\u0161et\u0159en\u00ED endoleaku typu II po endovaskul\u00E1rn\u00ED l\u00E9\u010Db\u011B. Robotick\u00FD syst\u00E9m byl vyu\u017Eit ke konstrukci c\u00E9vn\u00ED anastomozy, k aortoiliack\u00E9 rekonstrukci s pou\u017Eit\u00EDm z\u00E1platy, k preparaci slezinn\u00E9 tepny a k uz\u00E1v\u011Bru retroperitonea.Standardn\u011B byla pou\u017Eita kombinace klasick\u00E9 laparoskopie a robotiky. Modifikovan\u00FD pln\u011B robotick\u00FD p\u0159\u00EDstup byl pou\u017Eit u posledn\u00EDch 55 operac\u00ED. V\u00FDsledky: 217 operac\u00ED (96%) bylo \u00FAsp\u0161n\u011B doko\u010Deno roboticky; jedna operace byla p\u0159eru\u0161ena v pr\u016Fb\u011Bhu laparoskopick\u00E9 \u010D\u00E1sti z d\u016Fvodu t\u011B\u017Ek\u00E9 kalcifikace aorty. V sedmi p\u0159\u00EDpadech (3%) byla nezbytn\u00E1 konverze na otev\u0159enou operaci. 30-ti denn\u00ED \u00FAmrtnost byla 0,4% a poopera\u010Dn\u00ED komplikace byla u 10 pacient\u016F (4,4%). Z\u00E1v\u011Br: Na\u0161e zku\u0161enosti v oblasti roboticky asistovan\u00E9 laparoskopick\u00E9 chirurgii ukazuj\u00ED dostupnost prov\u00E1d\u011Bn\u00ED t\u011Bchto operac\u00ED v aortoiliack\u00E9 chirurgii i u hybridn\u00EDch v\u00FDkon\u016F. Ve srovn\u00E1n\u00ED s laparoskopi\u00ED uleh\u010Duje Da Vinci robot proveden\u00ED c\u00E9vn\u00ED anaston\u00F3zy a zkracuje \u010Das nalo\u017Een\u00E9 aort\u00E1ln\u00ED svorky."@cs . "Vyu\u017Eit\u00ED robotick\u00E9 chirurgie v v c\u00E9vn\u00ED problematice" . "Innovations" . . "Dvo\u0159\u00E1\u010Dek, Libor" . "Vyu\u017Eit\u00ED robotick\u00E9 chirurgie v v c\u00E9vn\u00ED problematice" . "\u0160t\u00E1dler, Petr" . "RIV/00023884:_____/12:#0005287!RIV14-MZ0-00023884" . "da Vinci robot, laparoscopic vascular surgery, robotic vascular surgery"@en . "The Application of Robotic Surgery in Vascular Medicine"@en . . . "[BDFA04D56985]" . "1556-9845" . . "RIV/00023884:_____/12:#0005287" . . "US - Spojen\u00E9 st\u00E1ty americk\u00E9" . . . "Vyu\u017Eit\u00ED robotick\u00E9 chirurgie v v c\u00E9vn\u00ED problematice"@cs . . "7" . "Matou\u0161, Pavel" . "179682" . . "Vit\u00E1sek, Petr" . "The Application of Robotic Surgery in Vascular Medicine"@en . "N" .