Computer-enhanced “robotic” cardiac surgery: Experience in 148 patients

Mohr, Friedrich W.; Falk, Volkmar; Diegeler, Anno; Walther, Thomas; Gummert, Jan; Bucerius, Jan; Jacobs, Stefan; Autschbach, Rüdiger

doi:10.1067/mtc.2001.112625

Cited by 352 publications

(159 citation statements)

References 27 publications

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“…The most significant experiences with TECABG were reported by MOHR et al [18] and DOGAN et al [22] [23] demonstrated a conversion rate to open surgery of 22% at the start of their experience, which was reduced to 5% in the last 30 patients (total conversion rate 10 cases, with seven converted to minithoracotomies and three to sternotomies), with a total surgery time of 61 ± 5 minutes. The 22 patients who underwent catheterism presented patency of the graft and six months after, all the patients in the series were free of symptoms.…”

Section: Robotic Surgerymentioning

confidence: 93%

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Emprego de sistemas robóticos na cirurgia cardiovascular

Sant’Anna

Prates

Sant'Anna

et al. 2004

Rev Bras Cir Cardiovasc

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The development of robotic systems for surgery started in the 1980s, motivated by the US army's requirement of surgical procedures in combat areas with the surgeon in a distant place (telepresence). But the first human application of robotic surgery occurred in a robotic surgery, years later.Cardiac surgeons were attracted by the robotic techniques due to the potential reduction in the invasive character of the procedures. This results in reduced trauma, fast recovery and low cost of surgery. Robotic systems were developed, allowing totally thoracoscopic cardiac surgery for myocardial revascularization and multi-site pacemaker implant in selected cases. Support systems for videothoracoscopic also exist and may give support to internal thoracic artery harvesting, mitral valve reconstruction correction of congenital heart defects. We have used the AESOP ® system, with HERMES ® voice control, to harvest the internal thoracic arteries, trans-thoracic implantation of left ventricular electrodes and to correct congenital heart defects.In spite of scientific enthusiasm relating to robotic surgery, there is no clear evidence of superiority of this technique if compared to conventional procedures in terms of results. The same is true with the cost of the procedures as even if a single robotic surgery is less expensive, the initial investment for a complete robotic system (console, video control, instruments) can only be compensated with many procedures. But there is no doubt that robotic surgery will have a place in the future of surgery, providing telepresence of the surgeon, allowing teaching and training and performing less invasive surgical procedures. Descriptors: Robotics. Cardiac surgical procedures, methods. Surgical procedures, minimally invasive. Resumo

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Section: Robotic Surgerymentioning

confidence: 93%

“…The specific attraction of robotic surgery over conventional endoscopic surgery [17,18] makes a more widespread indication of the technique possible, especially in thoracic surgery. The compatible procedures are summarized in Table 1.…”

Section: Surgical Robotic Systemsmentioning

confidence: 99%

Emprego de sistemas robóticos na cirurgia cardiovascular

Sant’Anna

Prates

Sant'Anna

et al. 2004

Rev Bras Cir Cardiovasc

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“…In the present case, the LIMA graft was sequentially anastomosed to the LAD and D1 using a totally endoscopic off-pump technique. In the literature, Mohr et al (4) reported two successful, single-vessel beating heart TECAB procedures of eight intended cases. Kappert et al (5) reported 29 successful beating heart TECAB procedures.…”

Section: Discussionmentioning

confidence: 99%

Totally endoscopic sequential arterial coronary artery bypass grafting on the beating heart

Wimmer‐Greinecker

Dzemali

et al. 2007

Canadian Journal of Cardiology

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“…In recent years, Totally Endocospic Coronary Artery Bypass (TECAB) was developed using port access and robotic technology [54][55][56][57]. Few centers have experience with this rather expensive procedure, and it is used in selected patients.…”

Section: IVmentioning

confidence: 99%