Challenges of conversion from robotic surgery for vascular complications.

A 67-year-old woman with endometrial adenocarcinoma had sustained an aortic injury during robotically assisted retroperitoneal lymphadenectomy. Repair could not be performed laparoscopically; however, graspers were used to maintain hemostasis while conversion to open surgery was initiated. Safety mechanisms locked the graspers in place, preventing tissue release, but resulting in additional aortic injury.

Mortality in open abdominal aortic surgery in patients with morbid obesity.

Background: Open abdominal aortic surgery is among procedures with high morbidity and mortality. Adverse postoperative complications may be more common in morbidly obese patients.

Objectives: This study compared the outcomes of open abdominal aortic surgeries in patients with and without morbid obesity.