Robot-assisted totally endoscopic coronary bypass surgery

Göbölös, László; Ramahi, Jehad; Obeso, Andrés; Bartel, Thomas; Traina, Mahmoud; Edris, Ahmad; Hasan, Faisal; Bonatti, Johannes

doi:10.1007/s12055-017-0604-0

Cited by 2 publications

(6 citation statements)

References 61 publications

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“…These include arrested‐heart TECAB, beating heart TECAB with the use of CPB (on‐pump) and beating heart TECAB without the use of CPB (off‐pump) 5 . The first TECAB procedure was conducted in 1998 and employed the arrested‐heart technique 5,20 …”

Section: Transition To Robotic Coronary Artery Surgerymentioning

confidence: 99%

“…It is regarded by the majority that the ultimate goal is to perform TECAB on the beating heart without the use of CPB. However, various studies have challenged the safety and efficacy of the procedure thus causing a hindrance in its popularity 20 . On the contrary, these technical difficulties of performing off‐pump beating heart TECAB can be overcome with the use of CPB.…”

Section: Transition To Robotic Coronary Artery Surgerymentioning

confidence: 99%

“…5 The first TECAB procedure was conducted in 1998 and employed the arrested-heart technique. 5,20 It is regarded by the majority that the ultimate goal is to perform TECAB on the beating heart without the use of CPB. However, various studies have challenged the safety and efficacy of the procedure thus causing a hindrance in its popularity.…”

Section: Transition To Robotic Coronary Artery Surgerymentioning

confidence: 99%

“…However, various studies have challenged the safety and efficacy of the procedure thus causing a hindrance in its popularity. 20 On the contrary, these technical difficulties of performing off-pump beating heart TECAB can be overcome with the use of CPB.…”

Section: Transition To Robotic Coronary Artery Surgerymentioning

confidence: 99%

“…However, their ability to understand and adapt to the technology integrated within robotic CABG will improve efficiency of the procedure, whilst ensuring patient safety. 20 Thus, the stepwise training program suggested by Deshpande et al 5 will strive to implement strategies for the whole medical team to coherently develop their skills respectively when using RA-CAB, thus collectively serving the purpose of minimally invasive CABG and potentially decreasing the varied operating times as also noted by Bonaros et al 40 The authors agreed that earlier integration of robotic surgical simulation is a beneficial idea in the education of surgical trainees so that their experience can be acquired at an earlier stage of their career. Perhaps even implementing elements of this within the undergraduate medical degree curriculum could enhance theoretical and practical understanding of the procedures that prospective surgeons and future medics will be already aware of when entering their profession and subsequent speciality training.…”

Section: Future Directionmentioning

confidence: 99%

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Robotic coronary artery surgery: Outcomes and pitfalls

Ravikumar

George

Shirke

et al. 2020

Journal of Cardiac Surgery

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Objective: Coronary artery bypass grafting is one of the most commonly performed surgical procedures in cardiovascular surgery with a steadily evolving minimally invasive approach. Methods: Conventional coronary artery bypass grafting (CABG) is performed traditionally via midline sternotomy. Exciting advancements in technology and engineering over the last two decades have resulted in the transition from conventional to minimally invasive CABG including robotically assisted surgery. Results: The minimally invasive techniques are continuously striving to promote coronary revascularization into the arena of minimally invasive surgery. Examination of 10 previously completed studies with relevant follow-up periods enables an insightful vision into the outcomes and pitfalls surrounding robot-assisted CABG (RACAB) as explored in this review. Studies indicate that RACAB is associated with decreased postoperative complications such as major adverse cardiac or cerebrovascular events without compromise in survival rates. Despite this, certain drawbacks such as incurring costs and technical complexity of the procedure cannot be dismissed. Conclusion: There exist patient-related benefits from minimally invasive techniques such as decreased certain postoperative complications. Furthermore, with experience and a specialized stepwise program, it is possible to perform the entire procedure from the console. However, certain pitfalls involving increased expenses, steep learning curve and the lack of proper haptic feedback currently withhold the worldwide expansion of RACAB and limit it to specialized institutions only.

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Section: Transition To Robotic Coronary Artery Surgerymentioning

confidence: 99%

Section: Transition To Robotic Coronary Artery Surgerymentioning

confidence: 99%