Robot-assisted minimally invasive solo mitral valve operation

Falk, Volkmar; Walther, Thomas; Autschbach, Rüdiger; Diegeler, Anno; Battellini, Roberto; Mohr, Friedrich W.

doi:10.1016/s0022-5223(98)70295-8

Cited by 174 publications

(60 citation statements)

References 4 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 1997, the first intracardiac proceduremitral valve repairs-were performed using a prototype of the current Da Vinci system. 7,8 These operations were performed through small thoracotomy incisions, since the "micro-wrists" allowed the surgeons to complete complex maneuvers without placing their hands within the chest. In December 2000, Chitwood and associates 2 reported the first such mitral valve operation performed in the United States, using an inframammary minithoracotomy.…”

Section: Discussionmentioning

confidence: 99%

Totally Endoscopic Atrial Septal Defect Repair With Robotic Assistance

et al. 2003

View full text Add to dashboard Cite

Background-Computer (robotic) enhancement had emerged as a facilitator of minimally invasive cardiac surgery, and has been used to perform portions of intracardiac procedures via thoracotomy incisions. This report describes the next step in this progression-the first U.S. application of robotic technology for totally endoscopic open heart surgery. Methods and Results-Seventeen patients underwent repair of a secundum-type atrial septal defect (nϭ12) or patent foramen ovale (nϭ5) by a totally endoscopic approach, utilizing the Da Vinci robotic system. Cardiopulmonary bypass (CPB) was achieved peripherally. Cardioplegia was administered via the distal port of the arterial cannula after endo-balloon inflation. Via three port incisions in the right chest, pericardiotomy, bicaval occlusion, atriotomy, atrial septopexy, and atrial closure were performed by a surgeon seated at a computer console. A fourth 15-mm port was utilized for suction and suture passage by a patient-side assistant. The mean age of the patients was 47 years (range, 22 to 68). Aortic crossclamp time was 32 minutes (median), and CPB time was 122 minutes. In 16 patients, transesophageal echocardiography after 30 days confirmed successful repair. In one patient, a recurrent shunt was identified and repaired on postoperative day 5. Median length of stay (LOS) in the intensive care unit was 20 hours, and median hospital length of stay was 4 days. Conclusions-Robotic

show abstract

Section: Discussionmentioning

confidence: 99%

Totally Endoscopic Atrial Septal Defect Repair With Robotic Assistance

et al. 2003

View full text Add to dashboard Cite

show abstract

“…Concerning level 3, a voiceactivated robot camera is employed to avoid possible communication errors if the camera is manoeuvred by an assistant. Falk et al 4 published a case series suggesting the feasibility of this approach.…”

Section: Four-step Classification Of Minimally Invasive Mitral Valve mentioning

confidence: 99%

Minimally invasive mitral valve surgery: state-of-the-art and our experience

Saglio

Fattouch²,

Romano

et al. 2015

European Heart Journal Supplements

View full text Add to dashboard Cite

The minimally invasive approach is becoming the standard-of-care for surgery of the mitral valve. As any less invasive strategy, it entails an increased surgical complexity. Standard-of-care mitral repair using the totally videoscopic approach is indeed reproducible; however, few specific data on patients with complex mitral valve disease are available in the published literature. The purpose of the present paper is to provide an overview of the current state-of-the-art in minimally invasive cardiac surgery, and a summary of recent evidence on the topic, with particular regard to the surgical techniques and comparisons with conventional surgery. The experience of the GVM Care and Research network in the field is also briefly reported.

show abstract

“…Partial sternotomy Para-sternal incision (Cohn et al, 1997;Navia & Cosgrove 1996) Trans-sternal incision (Cohn et al, 1997) Upper sternotomy (Byrne et al, 2000) T mini-sternotomy (Stamou et al, 2003) V-shaped incision (Corbi et al, 2003) Inverted L incision (Stamou et al, 2003) Reversed L incision (Detter et al, 2002) J incision (Cohn et al, 1997;Doll et al, 2002) Reversed C incision Inverted T incision (Farhat et al, 2003) Thoracotomy Right anterior thoracotomy 2º or 3º inter-costal space (Burfeind et al, 2002) Right anterior thoracotomy 4º or 5º inter-costal space (Sharony et al, 2003) Video-assisted vision Port access (Galloway et al, 1999) Video-direct vision AESOP 3000 (Computer Motion, Goleta, CA) ( Falk et al, 1998) Da Vinci System (Intuitive Surgical, Sunnyvale, CA) (Carpentier et al, 1998) Zeus (Computer Motion, Goleta, CA) (Cohn et al, 1997) At present, a partial upper sternotomy is the most frequently used incision for a minimally invasive approach to the aortic valve. (Ehrlich et al, 2000).…”

Section: Wwwintechopencommentioning

confidence: 99%