Journal of Vascular Surgery
Volume 51, Issue 4 , Pages 842-849 , April 2010

Robot-assisted laparoscopic repair of renal artery aneurysms

  • Pier Cristoforo Giulianotti, MD

      Affiliations

    • Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Ill
    • Corresponding Author InformationReprint requests: Pier Cristoforo Giulianotti, MD, Division of General, Minimally Invasive, and Robotic Surgery, University of Illinois at Chicago, 840 S. Wood St., Ste. 435 E, Chicago, Illinois 60612
    • ,
  • Francesco Maria Bianco, MD

      Affiliations

    • Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Ill
    • ,
  • Pietro Addeo, MD

      Affiliations

    • Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Ill
    • ,
  • Antonella Lombardi, MD

      Affiliations

    • Department of General Surgery, Misericordia Hospital, Grosseto, Italy
    • ,
  • Andrea Coratti, MD

      Affiliations

    • Department of General Surgery, Misericordia Hospital, Grosseto, Italy
    • ,
  • Fabio Sbrana, MD

      Affiliations

    • Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Ill

Received 28 July 2009 ,Accepted 8 October 2009.

  • Image Result

    Schematic drawing of RAA aneurysms location and type of repair performed. (A) Patient 1; (B) Patient 2; (C) Patient 3, 5: (D) Patient 4.

    Schematic drawing of RAA aneurysms location and type of repair performed. (A) Patient 1; (B) Patient 2; (C) Patient 3, 5: (D) Patient 4.

  • Image Result

    Magnetic resonance imaging (MRI) before (A) and after the repair of right renal artery aneurysms (B).

    Magnetic resonance imaging (MRI) before (A) and after the repair of right renal artery aneurysms (B).

  • Image Result

    Operative room set-up and positioning of ports for left renal artery aneurysms repair. 1: 12-mm trocar for endoscope; 2: 8-mm trocar for right robotic arm; 3: 8-mm trocar for left robotic arm; 4: 8mm

    Operative room set-up and positioning of ports for left renal artery aneurysms repair. 1: 12-mm trocar for endoscope; 2: 8-mm trocar for right robotic arm; 3: 8-mm trocar for left robotic arm; 4: 8mm trocar for the fourth robotic arm; 5: 12mm trocar for assistant instruments.

  • Image Result
    Endoscopic view of a robot-assisted laparoscopic left renal artery aneurysm repair. (A) Isolation of the aneurysm; (B) Aneurysmectomy; (C) Anastomosis between the main renal artery trunk and the saphe

    Endoscopic view of a robot-assisted laparoscopic left renal artery aneurysm repair. (A) Isolation of the aneurysm; (B) Aneurysmectomy; (C) Anastomosis between the main renal artery trunk and the saphenous vein graft; (D) Intraoperative view after completing the first two anastomoses; and (E) at the end of the vascular reconstruction. An, Aneurysm; e, End-to-end anastomoses; f, First order renal artery branches; m, Main left renal artery trunk; s, Second order renal artery branches; vg, Venous graft.

 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)02251-4

doi: 10.1016/j.jvs.2009.10.104

Journal of Vascular Surgery
Volume 51, Issue 4 , Pages 842-849 , April 2010

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