中国临床保健杂志2026，Vol.29Issue(2)：162-167,6.DOI:10.3969/J.issn.1672-6790.2026.02.004
达芬奇机器人手术系统辅助肾动脉瘤切除重建术1例并文献分析
One case of renal artery aneurysm resection and reconstruction assisted by the Da Vinci robotic surgical system,along with a literature analysis
孙伟 1张荣杰 1陈尚雄 1郝迎学1
作者信息
- 1. 陆军军医大学第一附属医院血管外科,重庆 400038
- 折叠
摘要
Abstract
Objective To explore the clinical efficacy of Da Vinci robotic surgical system-assisted renal artery aneurysm resection and vascular reconstruction.Methods In June 2022,a patient undergoing Da Vinci robot-assisted renal artery aneurysm resection and vascular reconstruction was admitted to the Vascular Surgery Department of the First Affiliated Hospital of the Military Medical University of the People's Liberation Army.The patient was found to have two aneurysms near the hilum of the right renal artery,both with a length greater than 2 cm.The Da Vinci robot-assisted renal artery aneurysm resection and vascular reconstruction was performed.Outpatient follow-up was conducted to assess the renal artery blood flow and target organ status.The follow-up ended in July 2022.Results The patient successfully underwent Da Vinci robot-assisted renal artery aneurysm resection and vascular reconstruction.The surgery was performed via a retroperitoneal approach,with complete resection of two renal artery aneurysms approximately 2.5 cm in length,and renal artery reconstruction was achieved using a combination of end-to-end and end-to-side anastomosis techniques.The total operation time was 328 minutes,with an intraoperative blood loss of approximately 500 mL.The renal artery anastomosis was well performed,and the renal artery blood flow was unobstructed.There were a total of four abdominal trocar ports(two 1.2 cm and two 0.8 cm),and there were no complications such as major abdominal bleeding or infection during or after the surgery.The postoperative hospital stay was 10 days.The patient was followed up for one month and is currently doing well.Postoperative abdominal ultrasound examination indicated unobstructed blood flow at the renal artery anastomosis site,and good blood flow in the right kidney.Conclusions Da Vinci robotic surgical system-assisted renal artery aneurysm resection and vascular reconstruction is safe and feasible,and the one-month follow-up results are satisfactory.关键词
肾动脉瘤/机器人手术/动静脉吻合/病例报告Key words
Renal artery aneurysm/Robotic surgical procedures/Arteriovenous anastomosis/Case reports引用本文复制引用
孙伟,张荣杰,陈尚雄,郝迎学..达芬奇机器人手术系统辅助肾动脉瘤切除重建术1例并文献分析[J].中国临床保健杂志,2026,29(2):162-167,6.
