Global Conference on
Surgery and Anesthesia
- October 21-23, 2019
- Dubai, UAE
Petr Stadler graduated from the Charles University, Prague Medical School in Pilsen, Czech Republic in 1989. He performed his Internship and Residency in General and Vascular Surgery at the District Hospital in Jicin, Czech Republic. Stadler obtained his certification of general surgery in 1992 and vascular surgery in 1996. Upon completion of his certifications, he relocated to Na Homolce Hospital in Prague. He was certified as a console surgeon for the da Vinci surgical system in an off-site training program conducted in August, 2005 at the University of California, Irvine. His surgical interests include: vascular, laparoscopic vascular and robot-assisted vascular surgery. He is a member of the Czech Association of Cardiovascular Surgery, the European Society for Vascular Surgery, a founding member of the International Endovascular and Laparoscopic Society and honorary member the Polish Robotic Society. He has also received a few prestigious honors from the Czech Association of Cardiovascular Surgery for the best publications in 2004 and 2006, the Letter of Appreciation from Korean Society of Endoscopic and Laparoscopic Surgeons in May 2008, the price of the Czech Society of Angiology for the publication in the year 2007, the best audiovisual presentation during the 12th Annual Meeting on Minimally InvasiveCardiothoracic Surgery in 2009, USA and the International Award of SCVS in 2013, USA. He also performed the robot-assisted vascular operation in South Korea, Russia, Poland and India.
The da Vinci system has been used by a variety of disciplines for laparoscopic procedures but the use of robots in vascular surgery is still relatively unknown. The feasibility of laparoscopic aortic surgery with robotic assistance has been sufficiently demonstrated. Our clinical experience with robot-assisted vascular surgery performed using the da Vinci system is herein described.
Between November 2005 and September 2018, we performed 437 robot-assisted vascular procedures. 291 patients were prospectively evaluated for occlusive diseases, 111 patients for abdominal aortic aneurysm, 5 for a common iliac artery aneurysm, 9 for a splenic artery aneurysm, 1 for a internal mammary artery aneurysm, 8 for median arcuate ligament release, 8 for endoleak type II treatment post EVAR, 2 for renal artery reconstruction and two cases were inoperable. 5 hybrid procedures in study were performed.
417 cases (96%) were successfully completed robotically, 1 patient's surgery (0,25%) was discontinued during laparoscopy due to heavy aortic calcification. In 16 patients (3,7%) conversion was necessary. The thirty-day mortality rate was 0,5% (2 patients), and early non-lethal postoperative complications were observed in 7 patients (1,6%).
Our experience with robot-assisted laparoscopic surgery has demonstrated the feasibility of this technique for occlusive diseases, aneurysms, endoleak II treatment post EVAR, for median arcuate ligament release and hybrid procedures.