Totally endoscopic coronary artery bypass grafting on cardiopulmonary bypass with robotically enhanced telemanipulation: Report of forty-five cases

Doğan, Selami; Aybek, Tayfun; Andreßen, E.; Byhahn, Christian; Mierdl, S.; Westphal, K.; Matheis, G.; Moritz, Anton; Wimmer‐Greinecker, Gerhard

doi:10.1067/mtc.2002.121305

Cited by 168 publications

(111 citation statements)

References 21 publications

(24 reference statements)

Supporting

Mentioning

104

Contrasting

Unclassified

Order By: Relevance

“…The most significant experiences with TECABG were reported by MOHR et al [18] and DOGAN et al [22] [23] demonstrated a conversion rate to open surgery of 22% at the start of their experience, which was reduced to 5% in the last 30 patients (total conversion rate 10 cases, with seven converted to minithoracotomies and three to sternotomies), with a total surgery time of 61 ± 5 minutes. The 22 patients who underwent catheterism presented patency of the graft and six months after, all the patients in the series were free of symptoms.…”

Section: Robotic Surgerymentioning

confidence: 93%

Emprego de sistemas robóticos na cirurgia cardiovascular

Sant’Anna

Prates

Sant'Anna

et al. 2004

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

The development of robotic systems for surgery started in the 1980s, motivated by the US army's requirement of surgical procedures in combat areas with the surgeon in a distant place (telepresence). But the first human application of robotic surgery occurred in a robotic surgery, years later.Cardiac surgeons were attracted by the robotic techniques due to the potential reduction in the invasive character of the procedures. This results in reduced trauma, fast recovery and low cost of surgery. Robotic systems were developed, allowing totally thoracoscopic cardiac surgery for myocardial revascularization and multi-site pacemaker implant in selected cases. Support systems for videothoracoscopic also exist and may give support to internal thoracic artery harvesting, mitral valve reconstruction correction of congenital heart defects. We have used the AESOP ® system, with HERMES ® voice control, to harvest the internal thoracic arteries, trans-thoracic implantation of left ventricular electrodes and to correct congenital heart defects.In spite of scientific enthusiasm relating to robotic surgery, there is no clear evidence of superiority of this technique if compared to conventional procedures in terms of results. The same is true with the cost of the procedures as even if a single robotic surgery is less expensive, the initial investment for a complete robotic system (console, video control, instruments) can only be compensated with many procedures. But there is no doubt that robotic surgery will have a place in the future of surgery, providing telepresence of the surgeon, allowing teaching and training and performing less invasive surgical procedures. Descriptors: Robotics. Cardiac surgical procedures, methods. Surgical procedures, minimally invasive. Resumo

show abstract

Section: Robotic Surgerymentioning

confidence: 93%

Emprego de sistemas robóticos na cirurgia cardiovascular

Sant’Anna

Prates

Sant'Anna

et al. 2004

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

show abstract

“…In the remaining 18 patients, grafts were widely patent at 3 months with no major complications. The same group subsequently reported the first off-pump TECAB using an endoscopic stabilizing device (18) (19). The initial conversion rate of 22% dropped to 5% in the last 20 patients.…”

Section: Coronary Revascularizationmentioning

confidence: 96%

Robotics in Cardiac Surgery

Rodríguez

Chitwood

2009

Scand J Surg

View full text Add to dashboard Cite

Minimally invasive surgery has revolutionized the surgical field over the last two decades. Robotic assisted surgery is the latest iteration towards less invasive techniques. cardiac surgeons have slowly adapted minimally invasive and robotics techniques into their armamentarium. in particular, minimally invasive mitral valve surgery has evolved over the last decade and become the preferred method of mitral valve repair and replacement at certain specialized centres worldwide because of excellent results. We have developed a robotic mitral valve surgery program which utilizes the da Vinci ® telemanipulation system allowing the surgeon to perform complex mitral valve repairs through 5mm port sites rather than a traditional median sternotomy. in this rapidly evolving field, we review the evolution and clinical results of robotically-assisted mitral valve surgery and take a look at the other cardiac surgical procedures for which da Vinci ® is currently being used.

show abstract

“…We evaluated the effect of pulmonary function testing on outcomes in TECAB in 174 consecutive TECAB patients at the University of Maryland; 16 of 174 (9.2%) patients required conversion to sternotomy. h, P=0.001), and longer hospital stay (6 [3-18] vs. 5 [3][4][5][6][7][8][9][10][11] days, P=0.001).…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

“…In the last 20 patients of this series, only 1 conversion to mini-thoracotomy (5%) was required. 11 In 2003, Novick et al 12 of London, Ontario, analyzed their learning curve for beating-heart robotic CABG. With an overall experience of 90 cases, they found that operating time was reduced from a mean of 537±119 min in the first quintile to 307±56 min in the last quintile.…”

Section: History and Status Of Robotic Tecabmentioning

confidence: 99%

History and Current Status of Robotic Totally Endoscopic Coronary Artery Bypass

Lee

Srivastava

Bonatti³

2012

Circ J

View full text Add to dashboard Cite

Robotic totally endoscopic coronary artery bypass (TECAB) is a minimally invasive endoscopic surgical approach using the daVinci robotic telemanipulation system to perform coronary artery bypass grafting on the arrested or beating heart. It is a procedure that can be a useful alternative to the classic open procedure performed through sternotomy. After extensive modeling in cadavers, the first clinical case was performed in June 1998 placing a left internal thoracic artery graft (LITA) to the left anterior descending artery completely robotically on the arrested heart. During the early and late 2000 s, international groups have adopted this evolving technology, which has included iterations such as beating-heart TECAB, use of bilateral ITA grafting and radial artery grafting, as well as 3- and 4-vessel TECAB. TECAB is combined with percutaneous coronary intervention in hybrid procedures. Despite increasing complexity of endoscopic coronary bypass surgery, conversion rates to open bypass surgery have dropped significantly and operative times have decreased. Published major morbidities and mortality rates in arrested- and beating-heart TECAB have been cumulatively in the 0-2% range and are considered well within the expected range for these highly complex surgical procedures. Long-term survival and freedom from major adverse events also meet the standards of open bypass surgery. (Circ J 2012; 76: 2058 - 2065

show abstract

Totally endoscopic coronary artery bypass grafting on cardiopulmonary bypass with robotically enhanced telemanipulation: Report of forty-five cases

Cited by 168 publications

References 21 publications

Emprego de sistemas robóticos na cirurgia cardiovascular

Emprego de sistemas robóticos na cirurgia cardiovascular

Robotics in Cardiac Surgery

History and Current Status of Robotic Totally Endoscopic Coronary Artery Bypass

Contact Info

Product

Resources

About