Robot-assisted laparoscopic repair of renal artery aneurysms

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Robot-assisted laparoscopic repair of renal artery aneurysms Pier Cristoforo Giulianotti, MD, Francesco Maria Bianco, MD, Pietro Addeo, MD, Antonella Lombardi, MD, Andrea Coratti, MD, Fabio Sbrana, MD Journal of Vascular Surgery Volume 51, Issue 4, Pages 842-849 (April 2010) DOI: 10.1016/j.jvs.2009.10.104 Copyright © 2010 Terms and Conditions

Fig 1 Schematic drawing of RAA aneurysms location and type of repair performed. (A) Patient 1; (B) Patient 2; (C) Patient 3, 5: (D) Patient 4. Journal of Vascular Surgery 2010 51, 842-849DOI: (10.1016/j.jvs.2009.10.104) Copyright © 2010 Terms and Conditions

Fig 2 Magnetic resonance imaging (MRI) before (A) and after the repair of right renal artery aneurysms (B). Journal of Vascular Surgery 2010 51, 842-849DOI: (10.1016/j.jvs.2009.10.104) Copyright © 2010 Terms and Conditions

Fig 3 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. Journal of Vascular Surgery 2010 51, 842-849DOI: (10.1016/j.jvs.2009.10.104) Copyright © 2010 Terms and Conditions

Fig 4 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. Journal of Vascular Surgery 2010 51, 842-849DOI: (10.1016/j.jvs.2009.10.104) Copyright © 2010 Terms and Conditions