Antico, A.; Vesce, G.; Iob G.; Parini, U. Splenic artery aneurysmectomy with combined laparoscopic-robotic technique: our preliminary experience and literature review. Seclaendosurgery.com (en línea) 2006, nº 15. Disponible en Internet .
http://www.seclaendosurgery.com/seclan15/articulos/art01eng.htm
ISSN: 1698-4412

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ABSTRACT

Objectives. To assess the feasibility and effectiveness of the combined laparoscopic-robotic tecnique (CLRT) in the treatment of splenic artery aneurysms (SAAs).
Material & Methods. The dimensions of the SAAs were 2,5 and 3 cm, which were incidentally found during the abdominal CT scan. Neither of the 2 SAAs were treatable with an endovascular approach because ofthe tortuousness of the proximal splenic artery.
Results. The post-operative colour-Doppler ultrasound control underlined the patency of the splenic artery and the normal aspect of the spleen in both cases (100%). Mobilization and the resumption of alimentation began in the first post-operative day.In all cases the post-operative pain was controlled with mild analgesic. The average hospitalization time was 5 days without complications. The follow-up was performed by colour-Doppler ultrasound 3, 6 and 12 months after the procedure; the good result was confirmed in 2/2 cases (100%).
Conclusions. The authors consider that, in selected cases of SAAs, there are benefits in the CLRT. To the advantages of the laparoscopy, the robot adds the magnification of the anatomical structures and the precision of the surgical gesture, benefits which allow to perform vascular anastomosis of structures of small dimensions as that of the splenic artery.

Key words: splenic artery, aneurysm, laparoscopic, robot.

INTRODUCTION
MATERIAL AND METHODS
RESULTS
DISCUSSION
CONCLUSIONS
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