Closed-chest coronary artery surgery on the beating heart with the use of a robotic system

Abstract

The introduction of robotic instrumentation has led to new minimally invasive surgical options in patients with coronary artery disease. [1][2][3][4] The application of an intrathoracic stabilizer enables closed-chest off-pump coronary artery bypass grafting (CABG) via a 4-point stab incision, avoiding sternotomy and minithoracotomy. We present a case of closed-chest off-pump CABG performed with wrist-enhanced robotic instrumentation in a patient with single-vessel coronary artery disease. The left internal thoracic artery (LITA) was used as the graft (operative day March 27, 2000).

Optimizing the surgeon-robot interface: The effect of control-display gain and zoom level on movement time

“…Robotic surgery technology and techniques have made rapid advances in recent years across a wide range of clinical applications including cardiovascular surgery (Kappert et al, 2000), urology (Menon, Tewari, Baize, Guillonneau, & Vallancien, 2002), pediatrics (Gutt et al, 2002), gynecology (Falcone, Goldberg, Margossian, & Stevens, 2000), neurosurgery (Giorgi, Sala, Riva, Cossu, & Eisenberg, 2000), orthopedics (Jakopec et al, 2001), microsurgery (Siemionow, Ozer, Siemionow, & Lister, 2000), and fetal surgery (Aaronson et al, 2002).…”

Minimally Invasive Robot – Assisted Colorectal Resections

“…There are some drawbacks, however, of the laparoscopic technique such as unstable video camera platform, limited motion of straight instruments, two-dimensional imaging, and poor ergonomics for the surgeon. Robotic surgery is spreading all over the world for many surgical procedures ranging from cardiac to general and urologic surgery thanks to its potential advantages overcoming the negative aspects of laparoscopic approach (Piazza et al, 1999;Reichenspurner et al, 2000;Kappert et al, 2000;Gill et al, 2000;Chen et al, 2009). The da Vinci surgical system (Intuitive Surgical Inc., Sunnyvale, CA, USA) was the first telerobotic system approved for intra-abdominal surgery in the USA by the Food and Drug Administration (FDA, 2000).…”

History and Current Status of Robotic Totally Endoscopic Coronary Artery Bypass

“…We evaluated the effect of pulmonary function testing on outcomes in TECAB in 174 consecutive TECAB patients at the University of Maryland; 16 of 174 (9.2%) patients required conversion to sternotomy. h, P=0.001), and longer hospital stay (6 [3-18] vs. 5 [3][4][5][6][7][8][9][10][11] days, P=0.001).…”

“…No complications occurred and the patient was discharged on the 7th postoperative day. 7 Finally, in another follow-up report, Damiano et al 8 reported on 32 patients scheduled for elective primary coronary surgery who underwent endoscopic anastomosis of the LITA to the LAD. Conventional techniques were used to perform the other grafts; 31 patients underwent these procedures via median sternotomy and 1 via an anterior thoracotomy (44 patients were originally placed in the study of which 4 (9.1%) preoperatively and 8 (18.2%) intraoperatively were excluded from analysis due to "unfavorable conditions").…”