Challenges of conversion from robotic surgery for vascular complications

Peter J. Lau; James M. McGreevy; Jessica A. Thomes Pepin; Archana Ramaswamy; Rumi Faizer

doi:10.1016/j.jvscit.2022.09.010

Challenges of conversion from robotic surgery for vascular complications

Peter J. Lau, James M. McGreevy, Jessica A. Thomes Pepin, Archana Ramaswamy, Rumi Faizer

Surgery

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

A 67-year-old woman with endometrial adenocarcinoma had sustained an aortic injury during robotically assisted retroperitoneal lymphadenectomy. Repair could not be performed laparoscopically; however, graspers were used to maintain hemostasis while conversion to open surgery was initiated. Safety mechanisms locked the graspers in place, preventing tissue release, but resulting in additional aortic injury. Forceful removal of the graspers was eventually successful, and definitive aortic repair was then performed. Vascular surgeons who are not familiar with robotic surgery techniques should be aware that removal of robotic hardware requires the use of stepwise algorithms, which, if performed out of order, can introduce significant challenges.

Original language	English (US)
Article number	101035
Journal	Journal of Vascular Surgery Cases, Innovations and Techniques
Volume	9
Issue number	2
DOIs	https://doi.org/10.1016/j.jvscit.2022.09.010
State	Published - Jun 2023

Bibliographical note

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

Publisher Copyright:
© 2022

Keywords

Aortic repair
Iatrogenic vascular injury
Robotic surgery

PubMed: MeSH publication types

Case Reports

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jvscit.2022.09.010

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title = "Challenges of conversion from robotic surgery for vascular complications",

abstract = "A 67-year-old woman with endometrial adenocarcinoma had sustained an aortic injury during robotically assisted retroperitoneal lymphadenectomy. Repair could not be performed laparoscopically; however, graspers were used to maintain hemostasis while conversion to open surgery was initiated. Safety mechanisms locked the graspers in place, preventing tissue release, but resulting in additional aortic injury. Forceful removal of the graspers was eventually successful, and definitive aortic repair was then performed. Vascular surgeons who are not familiar with robotic surgery techniques should be aware that removal of robotic hardware requires the use of stepwise algorithms, which, if performed out of order, can introduce significant challenges.",

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note = "Funding Information: The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. Publisher Copyright: {\textcopyright} 2022",

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AU - Ramaswamy, Archana

AU - Faizer, Rumi

N1 - Funding Information: The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. Publisher Copyright: © 2022

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N2 - A 67-year-old woman with endometrial adenocarcinoma had sustained an aortic injury during robotically assisted retroperitoneal lymphadenectomy. Repair could not be performed laparoscopically; however, graspers were used to maintain hemostasis while conversion to open surgery was initiated. Safety mechanisms locked the graspers in place, preventing tissue release, but resulting in additional aortic injury. Forceful removal of the graspers was eventually successful, and definitive aortic repair was then performed. Vascular surgeons who are not familiar with robotic surgery techniques should be aware that removal of robotic hardware requires the use of stepwise algorithms, which, if performed out of order, can introduce significant challenges.

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Challenges of conversion from robotic surgery for vascular complications

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

Publisher link

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