Robot
ARTICLE IN PRESS doi:10.1510/icvts.2009.203182 Interactive CardioVascular and Thoracic Surgery 9 (2009) 500–505 www.icvts.org State-of-the-art - Cardiac general
Robot-assisted cardiac surgery
Paul Modi, Evelio Rodriguez, W. Randolph Chitwood Jr.*
East Carolina Heart Institute, East Carolina University, Pitt County Memorial Hospital, 600 Moye Boulevard, Greenville, NC 27834, USA
Received 10 February 2009; received in revised form 5 June 2009; accepted 7 June 2009
Summary
Recognition of the significant advantages of minimizing surgical trauma has resulted in a substantial increase in the number of minimally invasive (MI) cardiac surgical procedures being performed. Synchronously, technological advances in optics, instrumentation and perfusion technology have facilitated routine totally endoscopic robotic cardiac surgery using the da Vinci telemanipulation system (Intuitive Surgical
Inc). This technology has been applied to many cardiac surgical procedures, in particular, mitral valve repair (MVP) and totally endoscopic coronary artery bypass grafting (TECAB), allowing the surgeon to operate through 5 mm port sites rather than a traditional median sternotomy. In this rapidly evolving field, we review the clinical results of robotic cardiac surgery.
2009 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
Keywords: Surgical procedures; Minimally invasive; Thoracic surgery; Video-assisted; Robotics; Telemedicine yinstrumentation
1. Introduction
During the past decade, recognition of the significant advantages of minimizing surgical trauma by reducing incision size and eliminating rib-spreading have resulted in a substantial increase in the number of minimally invasive
(MI) cardiac surgical procedures being performed. These benefits have included less pain, shorter hospital stays, faster return to normal activities and improved cosmesis w1x. At the same time, improvements in surgical instrumentation,
Robot-assisted cardiac surgery
Paul Modi, Evelio Rodriguez, W. Randolph Chitwood Jr.*
East Carolina Heart Institute, East Carolina University, Pitt County Memorial Hospital, 600 Moye Boulevard, Greenville, NC 27834, USA
Received 10 February 2009; received in revised form 5 June 2009; accepted 7 June 2009
Summary
Recognition of the significant advantages of minimizing surgical trauma has resulted in a substantial increase in the number of minimally invasive (MI) cardiac surgical procedures being performed. Synchronously, technological advances in optics, instrumentation and perfusion technology have facilitated routine totally endoscopic robotic cardiac surgery using the da Vinci telemanipulation system (Intuitive Surgical
Inc). This technology has been applied to many cardiac surgical procedures, in particular, mitral valve repair (MVP) and totally endoscopic coronary artery bypass grafting (TECAB), allowing the surgeon to operate through 5 mm port sites rather than a traditional median sternotomy. In this rapidly evolving field, we review the clinical results of robotic cardiac surgery.
2009 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
Keywords: Surgical procedures; Minimally invasive; Thoracic surgery; Video-assisted; Robotics; Telemedicine yinstrumentation
1. Introduction
During the past decade, recognition of the significant advantages of minimizing surgical trauma by reducing incision size and eliminating rib-spreading have resulted in a substantial increase in the number of minimally invasive
(MI) cardiac surgical procedures being performed. These benefits have included less pain, shorter hospital stays, faster return to normal activities and improved cosmesis w1x. At the same time, improvements in surgical instrumentation,