Computer-assisted coronary surgery: lessons from an initial experience.

Détails

ID Serval
serval:BIB_FF6300E34F7C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Computer-assisted coronary surgery: lessons from an initial experience.
Périodique
Interactive cardiovascular and thoracic surgery
Auteur⸱e⸱s
Loisance D.Y., Nakashima K., Kirsch M.
ISSN
1569-9285 (Electronic)
ISSN-L
1569-9285
Statut éditorial
Publié
Date de publication
10/2005
Peer-reviewed
Oui
Volume
4
Numéro
5
Pages
398-401
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Robotic-enhanced coronary surgery has been performed on sixty consecutive unselected patients (60.8+/-12 years) requiring CABG only. Nine had single-vessel (LAD), 13 double-vessel, and 38 triple-vessel disease. Since the endostabilizer was made available in the autumn of 2002 only, the first 47 patients were proposed to have closed chest LIMA dissection only. This was achieved successfully in all but one patient. In addition, 12 distal anastomosis have been performed after full sternotomy with the robot. Every other anastomosis has been hand sewn. The last 13 patients were TECAB candidates. After successful LIMA harvesting, LIMA to LAD suture has been attempted in totally closed chest on the beating heart: it has been successful in two only, the remaining lesions (a total of three) being dilated and stented the day after surgery. In the other 11 patients, the coronary anastomosis was hand sewn after full sternotomy. This suggests that the difficulties in anastomosing small vessels with a standard suture technique jeopardizes the reproducibility of the technique and that further technological developments are needed, to make robotic surgery safe and attractive for the patients.
Pubmed
Open Access
Oui
Création de la notice
29/03/2019 8:25
Dernière modification de la notice
26/11/2020 7:26
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