Clinical efficacy of Da Vinci robotic surgical system assisted inferior vena cava filter retrieval

Abstract

Objective To explore the clinical efficacy of Da Vinci robotic surgical system assisted Inferior Vena Cava filter retrieval. Methods The retrospective descriptive study was conducted.The clinical data of the first patient in asia who underwent Da Vinci robotic surgical system assisted inferior vena cava filter retrieval in the department of vascular surgery of Southwest Hospital of Army Military Medical University in Jul. 2019 were collected. The patient underwent retrievable inferior vena cava filter implantation two months ago, and failed to removal of inferior vena cava filters by endovascular measures and underwent inferior vena cava filter retrieval assisted by Da Vinci robotic surgical system. Observation indicators: intra-and post-operative situations; follow-up and patients’ survival. Follow-up using outpatient examination to detect the patients’ postoperative survival and swelling reduction of affected extremity up to Aug.2019. Results Intra- and post-operative situations: patient underwent inferior vena cava filter retrieval using Da Vinci robotic surgical system successfully. Operation time was 326 minutes and estimated blood loss was 100 ml. After removal of inferior vena cava filter, the incision of inferior vena cava was anastomosed well without bleeding or stenosis. No intraoperative complications occurred. Duration of hospital stay after surgery was 3 days.Follow-up and patients’ survival: patient was followed up for 1 month.The patient had a good survive without any complications. Conclusions The Da Vinci robotic surgical system is safe and feasible in inferior vena cava filter retrieval. Key words: Da Vinci robotic surgical system; Inferior vena cava; Inferior vena cava filter; Minimally invasive surgery