Dissecção endoscópica da artéria torácica interna com auxílio robótico

Abstract

Robotic surgery is today a reliable method to reduce trauma and related comorbidities in cardiac surgery. In our institution, robotic assistance has been effectively used for thoracoscopic implantation of epimyocardial leads for biventricular pacing. The objective of this article is to describe the technique that we developed to dissect the internal thoracic artery using thoracoscopy assistance with the AESOP robotic system and to report the initial results obtained with its use in nine patients. Descriptors: Robotics. Cardiac surgical procedures, methods. Surgical procedures, minimally invasive. Resumo A cirurgia robótica é hoje um método viável para reduzir o trauma e as morbidades relacionadas em cirurgia cardíaca. Em nossa instituição, o auxílio robótico já foi utilizado de forma bem-sucedida em implantes toracoscópicos de eletrodos epimiocárdicos para marcapassos biventriculares. O objetivo deste artigo é descrever a técnica por nós utilizada para dissecção da artéria torácica interna (ATI), mediante toracoscopia com apoio do robô AESOP e relatar seus resultados iniciais obtidos em nove pacientes. Descritores: Robótica. Procedimentos cirúrgicos cardíacos, métodos. Procedimentos cirúrgicos minimamente invasivos. Dissecção endoscópica da artéria torácica interna com auxílio robótico

<![CDATA[<b>Endoscopic harvest of internal thoracic artery with robotic assistance</b>]]>

“…The initial stage to perform this procedure consists of endoscopic harvesting of the ITA. This has previously been described with the utilization of the Harmonic Scalpel (Ethicon Endo-Surgery, Cincinnati, Ohio, USA) and with other more complex robotic systems such as Zeus (Computer motions, Goleta, California, USA) and Da Vinci (Intuitive Surgical, Sunnyvale, California, USA) [4][5][6][7].…”

“…The evolution of TECABG is slow and one of the basic stages for this technique to be successful is endoscopic dissection of the internal thoracic artery (ITA), first performed in Brazil by us and the group of Incor in Sao Paulo [5,6]. The aim of this work is to describe the technique we utilize for the dissection of the ITA using robotic arm-assisted thoracoscopy AESOP.…”