title: Mid-term results of robot-assisted laparoscopic surgery for aortoiliac occlusive disease.
abstract: The aim of this study was to evaluate middle-term clinical results of robot-assisted laparoscopic surgery (RALS) to treat aortoiliac occlusive disease (AIOD). Between 2002 and 2007, 28 consecutive patients received robot-assisted laparoscopic aortobifemoral bypass grafting (n = 24) or aortoiliac endarterectomy (n = 4). Patients were followed prospectively. RALS could be completed successfully in 24 patients; conversion to open surgery was necessary in four patients (14%). Median operative time was 350 min. Median aortic clamping time was 70 min. Median hospital stay was five days. One patient died within 30 days. Non-lethal complications occurred in four patients (14%). Clinical symptoms improved in all patients. Primary and secondary limb-based patencies at 36 months were 89% and 91%, respectively. In conclusion, RALS is a feasible and durable technique for patients with AIOD. Although operative times are long, RALS allows rapid postoperative recovery.
authors.affiliation: Department of Surgery, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: Vincent
authors.initials: V
authors.lastname: Jongkind
authors.forename: Jeroen
authors.initials: J
authors.lastname: Diks
authors.forename: Kak Khee
authors.initials: KK
authors.lastname: Yeung
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Cuesta
authors.forename: Willem
authors.initials: W
authors.lastname: Wisselink
mesh_terms: D000328:Adult; D000368:Aged; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007083:Iliac Artery; D007511:Ischemia / Q000601:surgery; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007866:Leg / Q000098:blood supply; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012371:Robotics / Q000295:instrumentation / Q000379:methods*; D018084:Ultrasonography, Interventional; D058017:Vascular Grafting / Q000379:methods*; D014654:Vascular Patency