Cirurgia robótica em Cardiologia: um procedimento seguro e efetivo

Abstract

Objective:To evaluate the short and medium-term outcomes of patients undergoing robotic-assisted minimally invasive cardiac surgery.Methods:From March 2010 to March 2013, 21 patients underwent robotic-assisted cardiac surgery. The procedures performed were: mitral valve repair, mitral valve replacement, surgical correction of atrial fibrillation, surgical correction of atrial septal defect, intracardiac tumor resection, totally endoscopic coronary artery bypass surgery and pericardiectomy.Results:The mean age was 48.39±18.05 years. The mean cardiopulmonary bypass time was 151.7±99.97 minutes, and the mean aortic cross-clamp time was 109.94±81.34 minutes. The mean duration of intubation was 7.52±15.2 hours, and 16 (76.2%) patients were extubated in the operating room immediately after the procedure. The mean length of intensive care unit stay was 1.67±1.46 days. There were no conversions to sternotomy. There was no in-hospital death or deaths during the medium-term follow-up. Patients mean follow up time was 684±346 days, ranging from 28 to 1096 days.Conclusion:Robotic-assisted cardiac surgery proved to be feasible, safe and effective and can be applied in the correction of various intra and extracardiac pathologies.

Mesenteric ischemia following large left ventricular fibroid thrombosis due to myocardial infarction: A case report

“…Although there are limited articles, mostly case reports, cardiac endoscopy appear to help visualize left ventricular lesions [ 12 ]. However, direct vision is often replaced with a two-dimensional view [ 13 ]. In the present study, due to the lack of equipment, cardiac endoscopic surgery was not performed, and the LVT was removed through left ventricular ventriculotomy, thus reducing the risk of cardiac arrhythmias and EF loss.…”

Snake Robots for Surgical Applications: A Review

“…In existing systems, the primordial role of snake robots comprises of intrapericardial penetration via subxiphoid incisions, expanding the range of motion at the most remote locations on the epicardial boundary. The electrophysiology chronological maps created indicate the regions of the heart which require repair for the diagnosis and treatment of an atrial flutter [164], ventricular tachycardia [165] and cardiac arrythmia [166]. An approach by Berthet-Rayne et al [31] depicts in situ sensing via gaze-dependent perceptual docking to compensate for haphazard motion and reduce cognitive load.…”

A primer on artificial intelligence for the paediatric cardiologist

“…Robotic-assisted adult cardiac surgery is well-established as a safe and effective tool in mitral valve repair and replacement, surgical correction of atrial fibrillation, repair of atrial septal defects, intra-cardiac tumour resection and endoscopic coronary artery bypass surgery in adults. 66 Given the complexity of operative and interventional procedures in paediatric cardiology and the minimal size difference between ports and intercostal spaces in paediatric patients, it will likely take decades before a robot will be performing a complete cardiac procedure. Traditionally, robotic technology and imaging systems in paediatric cardiology were limited to thoracoscopic procedures on extra cardiac lesions, ligation of patent ductus arteriosus and division of vascular rings.…”