Aortoiliac reconstruction with the quadrifurcated graft using robotics

摘要

Resection of abdominal aortic aneurysm with subsequent replacement is the gold standard for aortoiliac aneurysms. Robotic technologies in aortic aneurysm surgery reduce surgical trauma and improve postoperative rehabilitation. In July 2022, a 65-year-old patient admitted with complaints of pulsating abdominal mass. Contrast-enhanced CT revealed type III infra-abdominal aortic aneurysm (56 mm in diameter) with parietal thrombotic masses and deviation of aneurysm neck to the left. Considering clinical and instrumental findings, we performed resection of abdominal aortic aneurysm and aortoiliac reconstruction with a quadrifurcated graft using robotic system. Surgery time was 245 min, aortic clamping time — 27 minutes, time for robot-assisted imposing of proximal anastomosis — 24 min, blood loss — 100 mL. The patient was weaned from ventilator in 10 min after procedure and transferred to the intensive care unit. There were no postoperative complications. The patient was mobilized and transferred to surgical department after 2 days. After 5 days, the patient was discharged.