Robotic-assisted operations for pathology of the aortoiliac segment: own experience

Саая, Ш. Б.; Rabtsun, Artem; Popova, Irina; Гостев, А. А.; Чебан, А. В.; Ignatenko, Pavel; Starodubtsev, Vladimir; Karpenko, Andrey

doi:10.33529/angio2020409

Cited by 6 publications

(2 citation statements)

References 17 publications

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“…The use of minimally invasive robotic surgery compared to open surgery still represents a major challenge for surgeons in the vascular eld [12,13]. Other surgical disciplines, particularly general surgery, urology and gynecology, have already established minimally invasive robotic systems as the gold standard in a bride range of procedures [1].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the MMI Symani® Robotic Microsurgical System for coronary-bypass anastomoses in a cadaveric porcine model

Rusch,

Hoffmann,

Wieker

et al. 2024

Preprint

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Objective The MMI Symani® is a recently approved robotic microsurgical system for surgical procedures in adults. The system enables the surgeon to create microanastomoses. Clinical applications so far include lymphatic vessels surgery and the creation of special flap plastics. The use of the system in coronary arteries has not yet been assessed. The aim of this preclinical study was to evaluate the applicability of the Symani® surgical system in the creation of coronary anastomoses a cadaveric porcine model.Design and Methods A total of 12 anastomoses were performed by three senior cardiovascular surgeons on the left main coronary artery of three porcine hearts. Artificial bypasses (diameter 1 mm) were performed to the left main trunk. The anastomoses were performed with the Symani® surgical system. Evaluation included procedure times and anastomosis leakage.Results All anastomoses could be successfully performed. The procedure time decreased due to the learning curve between the first anastomosis 47:28 ± 5:30 min and the last anastomosis 22:37 ± 3:25 min. The final evaluation of the anastomoses showed excellent results with low leakage. The quality of the anastomosis also improved in relation to the increasing learning curve.Conclusion The Symani® surgical system could be used to create coronary anastomoses in an acceptable time frame and without technical failures. Hence, the system appears feasible for conventional coronary surgery. Further studies in animal models are mandatory prior to clinical application.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the MMI Symani® Robotic Microsurgical System for coronary-bypass anastomoses in a cadaveric porcine model

Rusch,

Hoffmann,

Wieker

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…The use of minimally invasive robotic surgery compared to open surgery still represents a major challenge for surgeons in the vascular field [ 12 , 13 ]. Other surgical disciplines, particularly general surgery, urology and gynecology, have already established minimally invasive robotic systems as the gold standard in a bride range of procedures [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the MMI Symani® robotic microsurgical system for coronary-bypass anastomoses in a cadaveric porcine model

Rusch,

Hoffmann,

Wieker

et al. 2024

J Robotic Surg

View full text Add to dashboard Cite

The MMI Symani® is a recently approved robotic microsurgical system for surgical procedures in adults. The system enables the surgeon to create microanastomoses. Clinical applications so far include lymphatic vessels surgery and the creation of special flap plastics. The use of the system in coronary arteries has not yet been assessed. The aim of this preclinical study was to evaluate the applicability of the Symani® surgical system in the creation of coronary anastomoses a cadaveric porcine model. A total of 12 anastomoses were performed by three senior cardiovascular surgeons on the left main coronary artery of three porcine hearts. Artificial bypasses (diameter 1 mm) were performed to the left main trunk. The anastomoses were performed with the Symani® surgical system. Evaluation included procedure times and anastomosis leakage. All anastomoses could be successfully performed. The procedure time decreased due to the learning curve between the first anastomosis 47:28 ± 5:30 min and the last anastomosis 22:37 ± 3:25 min. The final evaluation of the anastomoses showed excellent results with low leakage. The quality of the anastomosis also improved in relation to the increasing learning curve. The Symani® surgical system could be used to create coronary anastomoses in an acceptable time frame and without technical failures. Hence, the system appears feasible for conventional coronary surgery. Further studies in animal models are mandatory prior to clinical application.

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Repair of the descending thoracic aorta using minimally invasive endoscopic Robot-assisted surgery: a feasibility study with the DaVinci XI system in a cadaver model

Rusch

Hoffmann

Cremer

et al. 2021

European Journal of Cardio-Thoracic Surgery

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Robotic-assisted operations for pathology of the aortoiliac segment: own experience

Cited by 6 publications

References 17 publications

Evaluation of the MMI Symani® Robotic Microsurgical System for coronary-bypass anastomoses in a cadaveric porcine model

Evaluation of the MMI Symani® Robotic Microsurgical System for coronary-bypass anastomoses in a cadaveric porcine model

Evaluation of the MMI Symani® robotic microsurgical system for coronary-bypass anastomoses in a cadaveric porcine model

Repair of the descending thoracic aorta using minimally invasive endoscopic Robot-assisted surgery: a feasibility study with the DaVinci XI system in a cadaver model

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