671 Robotics In Caval Crossroads

Dr. Revathi G

Problem Open IVC thrombectomy is technically demanding, associated with high blood loss, prolonged recovery, and significant morbidity. Exposure and vascular control in high-level thrombi are especially challenging. Solution Adoption of the robotic platform for IVC thrombectomy allows precise dissection, enhanced 3D visualization, and improved dexterity for intracorporeal suturing. Techniques such as robotic venotomy, atraumatic thrombus extraction, and meticulous caval repair can be performed with reduced invasiveness while maintaining oncological principles. Innovation The innovation lies in translating a traditionally morbid, open vascular oncology procedure into a minimally invasive robotic approach. Key novel aspects include: Use of robotic instruments for fine vascular control and intracaval suturing. Intraoperative ultrasound integration to ensure complete thrombus clearance. Ability to perform complex maneuvers (e.g., Pringle, liver mobilization) robotically. Demonstrated reduction in blood loss and hospital stay in early series, without compromising surgical margins.
Procedure Innovation, Urologic Surgery, IVC Thrombectomy

See more at: https://vattikutifoundation.com/videos/