Robotic cardiac surgery

Woo, Y. Joseph

doi:10.1002/rcs.98

Cited by 40 publications

(17 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Currently available robotic platforms provide 3D vision, magnification, miniaturized instruments and mobility through seven degrees of freedom, thereby mimicking the human wrist [29,30]. Moreover, these systems will computer-correct and eliminate even the slightest of tremors, and enhance precision.…”

Section: Robotic Mitral Valve Surgerymentioning

confidence: 97%

Minimally invasive robotic mitral valve surgery

Atluri

Woo

2011

Expert Review of Medical Devices

View full text Add to dashboard Cite

Over the past two decades, significant advances have been made in mitral valve surgery. Cardiac surgeons have successfully repaired degenerative and ischemic regurgitant mitral valves via a traditional midline sternotomy. In recent years, alternate incisions have yielded minimally invasive approaches to the mitral valve. Technological advances have made robotically assisted minimally invasive mitral valve surgery feasible. Decreased pain, more rapid return to work, diminished blood loss and reduced length of hospitalization have been witnessed following robotic mitral valve surgery when compared with a traditional sternotomy. Equivalent long-term mortality and freedom from recurrent mitral regurgitation are evident between mitral valve repair performed via a traditional sternotomy and minimally invasive and robotic techniques. As a result, an increasing number of patients and referring cardiologists are seeking minimally invasive approaches to mitral valve surgery.

show abstract

Section: Robotic Mitral Valve Surgerymentioning

confidence: 97%

Minimally invasive robotic mitral valve surgery

Atluri

Woo

2011

Expert Review of Medical Devices

View full text Add to dashboard Cite

show abstract

“…The practice of robot-assisted mitral valve repair (MVR) offers numerous potential benefits to patients including shorter hospital length of stay (1)(2)(3), reduced postoperative pain (4), a lower rate of surgical site infection (4), diminished incidence of blood product transfusion (5,6), a faster return to normal daily activities (5,7), and greater overall patient satisfaction (4). Anesthesiologists play in a key role in facilitating optimal outcomes after robotic MVR.…”

Section: Perspectivementioning

confidence: 99%

Anesthetic considerations in robotic mitral valve surgery

Rehfeldt

Andre

Ritter

2017

Ann. Cardiothorac. Surg.

View full text Add to dashboard Cite

The robotic approach to cardiac surgery offers patients numerous potential advantages compared with a traditional sternotomy approach including shorter hospital length of stay, reduced pain, fewer blood transfusions, and a quicker return to normal daily activities. At the same time, robotic cardiac surgery requires that the anesthesiologist employs several subspecialty skillsets in order to provide optimal care for these patients. Multiple different regional anesthesia techniques may be used to improve analgesia, reduce opioid dosages, and facilitate rapid extubation at the conclusion of the case. Several peripheral cannulation strategies for cardiopulmonary bypass (CPB) exist and the anesthesia team may assist with percutaneous cannulation of the superior vena cava (SVC) or positioning of an endo-pulmonary vent. Similarly the anesthesiologist may be asked to percutaneously cannulate the coronary sinus for retrograde cardioplegia delivery. The need for one-lung ventilation (OLV) and heavy reliance on transesophageal echocardiography (TEE) occupy much of the anesthesiologist's attention during these cases. Variations in institutional practice exist. Reviews of current practice and future studies may help refine the anesthetic approach to robot-assisted cardiac surgery.

show abstract

“…Currently available robotic platforms provide three-dimensional (3D) vision, magnification, miniature instruments, and mobility through multiple degrees of movement, thereby allowing very precise and controlled motion (82). Moreover, these systems computer-correct and eliminate even the slightest of tremors.…”

Section: Robotic Coronary Revascularizationmentioning

confidence: 99%

Untitled

2009

Robotics Computer Surgery

View full text Add to dashboard Cite

Coronary artery disease is a global health concern, with increasing morbidity and mortality. Surgical coronary artery bypass grafting has been performed on cardiopulmonary bypass for nearly four decades, with excellent long-term durability. Beating-heart coronary surgery has been increasing in frequency in an attempt to decrease cardiopulmonary bypass-related morbidity. Furthermore, with increasing expertise and technology, minimally invasive and robotic techniques have been developed to enhance postoperative recovery, patient satisfaction and cosmesis. Several clinical trials have demonstrated decreased morbidity and more rapid recovery following off-pump, minimally invasive and robotic procedures when compared to on-pump coronary artery bypass grafts (CABGs). An equivalent extent of revascularization and medium-term anastomotic patency has been demonstrated among all approaches. Furthermore, for a large number of patients who do not have anatomy amenable to traditional coronary revascularization, adjunctive molecular therapies may provide alternative myocardial micro-revascularization.

show abstract

Robotic cardiac surgery

Cited by 40 publications

References 34 publications

Minimally invasive robotic mitral valve surgery

Minimally invasive robotic mitral valve surgery

Anesthetic considerations in robotic mitral valve surgery

Untitled

Contact Info

Product

Resources

About