本研究回顾性分析国内首例行达芬奇机器人手术系统辅助下腹主动脉瘤切除人工血管重建术患者的临床资料，该患者为39岁女性，因检查发现腹主动脉瘤1个月入院，结合患者对微创治疗及远期疗效的综合要求行达芬奇机器人手术系统辅助下腹主动脉瘤切除人工血管重建术。手术时间506 min，术中出血量约为1 200 ml，其中800 ml以自体血回收后回输，完成腹主动脉瘤切除人工血管重建后，腹主动脉人工血管充盈良好，近心端及远心端吻合口吻合良好，无明显渗血，远端髂动脉搏动良好，双侧足背动脉可触及搏动，无术中并发症发生。患者术后住院时间为8 d。患者术后随访半年，患者腹部切口及各戳卡孔愈合良好，腹部搏动性包块消失，生存良好。本研究提示达芬奇机器人手术系统辅助下腹主动脉瘤切除人工血管重建安全可行，近期疗效较好。

Because of the low incidence rate, spontaneous isolated superior mesenteric artery dissection (SISMAD) is once considered as a rare disease. In recent years, with the widespread application of enhanced computed tomography (CT), reports of SISMAD have increased. At present, there is no consensus on the optimal treatment of SISMAD, and there are various imaging classifica-tions based on CT. However, clinical management strategy for SISMAD according to any imaging classification based on CT has not yet been acknowledged. Foreign scholars believe that conservative treatment can improve symptoms in most SISMAD patients, while Chinese scholars prefer endo-vascular intervention. The authors review the research progress of treatment options on SISMAD based on computed tomography imaging classification.