To analyze the clinical effect of da Vinci robotic surgical system assisted splenic aneurysm resection and reconstruction.

The clinical data of 2 cases of splenic aneurysm resection and revascularization assisted by the fourth generation da Vinci robot admitted to vascular surgery Department of Army Medical University from May to Oct. 2022 were collected by retrospective descriptive research method, and the intraoperative and postoperative conditions were observed. Follow up was conducted in the outpatient way to understand the splenic artery anastomosis of the patient. The follow-up period was up to Nov. 2022.

Both patients successfully underwent the fourth generation robot-assisted splenic aneurysm resection and reconstruction. The operation time of patient A was 280 minutes, including 30 minutes of vascular anastomosis. The operation time of patient B was 370 minutes, of which the vascular anastomosis time was 43 minutes. The splenic artery anastomosis was good from end to end, and there was no obvious blood seepage after release and occlusion. The intraoperative hemorrhage of patient A was 40 ml and that of patient B was 60 ml. There were no complications such as abdominal hemorrhage and infection during and after operation. Postoperative hospital stay was 5 days, postoperative review of the upper abdominal CT indicated that the splenic artery anastomosis was patency, spleen blood supply was good.

Splenic aneurysm resection and vascular reconstruction assisted by da Vinci robotic surgical system is safe, feasible and effective in the near term.