Exploration of robotic-assisted surgical techniques in vascular surgery
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Robotic-assisted surgical approaches for vascular surgery are feasible regarding minimally invasive exposure, dissection, ligation and skeletonization for varicose vein ligation, anterior spine exposure, femoral-popliteal bypass, femoral vein harvest and aortic aneurysm repair. The authors performed a cadaveric exploration to demonstrate proof of concept and feasibility for a robotic-assisted approached. Surgeon autonomy over endoscopic vision, robotic instrumentation and retraction were noted as key benefits over existing open vascular approaches. Robotic-assisted approaches for vascular surgery enable innovative minimally invasive approaches to disease states not amenable to endovascular repair. Potential reductions in paresthesia through nerve identification were noted during a cadaveric exploration for varicose vein ligation in the setting of chronic venous insufficiency. Minimally invasive femoral artery exposure via a retroperitoneal approach could potentially reduce the morbidity associated with the traditional groin incision. Further exploration and procedure refinement are warranted.
KeywordsRobotic-assisted surgery Vascular surgery Proof of concept Procedure exploration
This study was funded by Intuitive Surgical Inc. (Sunnyvale, CA).
Compliance with ethical standards
Conflict of interest
Authors Dr. Kyle Miller, Dale Bergman and Glenn Stante declare employment through Intuitive Surgical and each own stock in the company. Author Dr. Chandu Vemuri has received a honoraria for lab participation.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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