Minimally invasive videoscopic mitral valve surgery: the current role of surgical robotics.

摘要: Objective Recently, the efficacy of video-assisted mitral valve surgery has been demonstrated. The evolution this technology relatively rapid. In article we review development and predict future endoscopic robotic-enabling for cardiac operations. Methods A new operation is described results discussed. majority each was done through assisted vision near endoscopically. Cardiopulmonary bypass established via femoral cannulation, blood cardioplegic arrest induced using a percutaneous, transthoracic cross-clamp. 5 to 6-cm minithoracotomy used in patient. Videoscopy helpful suture placement, chord reconstruction, leaflet resection, knot tying, ring or prosthesis positioning. voice-activated robotic arm direct camera many instances. Results Thus far total 110 patients have undergone successfully with 0.9% operative mortality. Our early series (N = 31), published cost data, reviewed detail. perfusion cross-clamp times all 100 were longer than conventional sternotomy at 158 +/- 3.9 3.6 minutes, respectively, versus 121 4.6 90 105); however, there less complications. Operative, perfusion, fallen progressively 144 4.5 4.5, respectively 55 Aesop 3000 cases). Complex repairs replacements become routine anterior pathology addressed. Bleeding, ventilatory times, transfusions, hospital stay reduced. One patient required reoperation technically failed repair two renal had late endocarditis. We voice-activated, (Aesop 3000) assistance control 51 these patients. This addition decreased motion artifact lens cleaning, while providing "cerebral-eye" tracking instruments surgeon. first United States apply DaVinci articulated wrist robot do complete multiple device. Conclusions From other work reviewed, conclude that computer-assisted techniques are safe may be pathway truly encouraged regarding use