Abstract
The authors report on their clinical experience with robot-assisted aortoiliac reconstruction for aorto-iliacocclusive disease, aortic aneurysm and two hybrid procedures performed using the da Vinci system. Between November 2005 and December 2008, we performed 130 robot-assisted laparoscopic aortoiliac procedures.
One hundred sixteen patients were prospectively evaluated for occlusive disease, ten patients for abdominal aortic aneurysm, two for a common iliac artery aneurysm and two for hybrid procedures. Dissection of the aorta and the iliac arteries was performed laparoscopically using a transperitoneal direct approach technique and the robotic system was used to construct the vascular anastomosis, for the thromboendarterectomy, for the aorto-iliac reconstruction with the patch closure and for the posterior peritoneal suture.