Video-assisted observation in mitral valve surgery

Gao²,

et al. 2010

Echocardiography

mentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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The Role of Intraoperative Transesophageal Echocardiography in Robotic Mitral Valve Repair

Gao²,

et al. 2010

Echocardiography

“…Video assistance was used first for closed chest IMA harvests and congenital heart operations [14,15,16]. Although Kaneko et al [17] first described the use of video assistance for mitral valve surgery done through a sternotomy, Carpentier et al[ 18] completed the first video-assisted mitral valve repair via a mini-thoracotomy using ventricular fibrillation in February 1996. Three months later, our group at East Carolina University performed a mitral valve replacement using a micro-incision, videoscopic vision, percutaneous transthoracic aortic clamp, and retrograde cardioplegia [19, 20].…”

Section: The Development Of Minimally Invasive Cardiac Surgerymentioning

confidence: 99%

Recent Trends in Minimally Invasive Cardiac Surgery

Kypson¹

2006

Cardiology

Ann. Cardiothorac. Surg.

“…In 1958, Sakakibara endoscopically observed aortic valves and septal defects and predicted that valve operations could be treated using cardioscope vision (6,7). Kaneko (1995) used videoassistance through a sternotomy to aid in mitral repairs and commissurotomy (8). Carpentier performed the first minimally invasive videoscopic mitral valve repair in February of 1996 (9).…”

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confidence: 99%

Robotic mitral valve surgery: overview, methodology, results, and perspective

Chitwood¹

2016

Robotic mitral valve repair began in 1998 and has advanced remarkably. It arose from an interest in reducing patient trauma by operating through smaller incisions with videoscopic assistance. In the United States, following two clinical trials, the FDA approved the daVinci Surgical System in 2002 for intra-cardiac surgery. This device has undergone three iterations, eventuating in the current daVinci XI. At present it is the only robotic device approved for mitral valve surgery. Many larger centers have adopted its use as part of their routine mitral valve repair armamentarium. Although these operations have longer perfusion and arrest times, complications have been either similar or less than other traditional methods. Preoperative screening is paramount and leads to optimal patient selection and outcomes. There are clear contraindications, both relative and absolute, that must be considered. Three-dimensional (3D) echocardiographic studies optimally guide surgeons in operative planning. Herein, we describe the selection criteria as well as our operative management during a robotic mitral valve repair. Major complications are detailed with tips to avoid their occurrence. Operative outcomes from the author's series as well as those from the largest experiences in the United States are described. They show that robotic mitral valve repair is safe and effective, as well as economically reasonable due to lower costs of hospitalization. Thus, the future of this operative technique is bright for centers adopting the "heart team" approach, adequate clinical volume and a dedicated and experienced mitral repair surgeon. Keynote Lecture SeriesHe who is fixed to a star does not change his mind.--Leonardo da Vinci Evolutionary overviewWith the development and improvement of endoscopic vision in the late 1970s, the notion of laparoscopic operations was spawned and then developed rapidly, despite early reservations by most surgeons. This skepticism was gradually overcome as many traditional general surgical, gynecological and urological operations were replaced rapidly by less invasive and/or endoscopic operations. During this era, cardiac surgery had evolved so well using sternotomy incisions that there seemed to be no incentive for cardiac surgeons to adopt either secondary vision or less invasive incisions. Non-cardiac thoracic surgeons were the first to embrace this disruptive methodology and they proved that major pulmonary operations could be done safely and effectively using thoracoscopic techniques. The idea of minimally invasive cardiac surgery emanated from the "Heartport Era" with the development of new innovative aortic occlusive devices, long-shafted instruments and ports for cardiac access (1,2). These developments issued the clarion call that minimally invasive cardiac surgery was possible and that surgeons must begin