Robotic splenic aneurysm resection and reconstruction: a case report and literature review

doi:10.3877/cma.j.issn.1674-6899.2021.02.010

Abstract

Abstract:

Objective

To explore the feasibility and advantages of using robotic surgery system for splenic aneurysm resection and end-to-end anastomosis.

Methods

A case of splenic aneurysm was admitted in Feb. 2021. A 61-year-old woman found a splenic aneurysm by the abdominal CT. The size of the splenic aneurysm was about 1.8 cm. The splenic aneurysm was removed by robot surgery system and end-to-end anastomosis was performed. First, connected the robotic surgery system before surgery, the hepatogastric ligament was partially divided using electric hook, the splenic aneurysm was exposed on the superior margin of the pancreas, isolated the proximal inflow tract and distal outflow tract along the aneurysm, the proximal and distal aneurysm was blocked by the arterial clip. The aneurysm was resected and the splentic artery reconstructed by 5-0 Prolene suture.

Results

The operation was uneventful. The loss of bleeding was 50 ml. There was no abdominal hemorrhage or infection after the operation. The patient was discharged on the 5 days. The abdominal CT scan showed that the splenic artery anastomosis was unobstructed.

Conclusions

Robotic resection and reconstruction of splenic aneurysm is safe and feasible, and the vascular anastomosis procedure has more advantages than laparoscopy.

Key words: Splenic aneurysm, Minimally invasive surgery, Robotic surgery, Vascular anastomosis

Zhongfei Zhu, Tianlin He. Robotic splenic aneurysm resection and reconstruction: a case report and literature review[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(02): 112-115.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.02.010

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2021/V14/I02/112

Figures/Tables 3

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