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Challenges facing totally endoscopic robotic coronary artery bypass grafting.
MedLine Citation:
PMID:  24944107     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Robot-assisted surgery is growing in popularity; however, robotic totally endoscopic coronary artery surgery (TECAB) remains challenging, particularly in multi-vessel disease.
METHODS: A review of the current literature surrounding TECAB using the da Vinci® system.
RESULTS: The da Vinci robot is the only commercially available system, operating on a master-slave paradigm with the surgeon controlling the robotic arms from a remote console.
CONCLUSIONS: Robotic surgery today is presented with challenges, including dealing with a non-perfect robot without haptic control, a steep learning curve, lack of established training criteria and high cost. Strategies such as structured, simulated training and novel anastomotic devices may potentially shorten the learning curve, improve patency and facilitate grafting in multi-vessel disease. Future challenges will include the ability to demonstrate long-term patency, morbidity and mortality at least comparable to conventional CABG, whilst also offering cost effectiveness in this increasingly difficult economic environment. Copyright © 2014 John Wiley & Sons, Ltd.
Authors:
Marco Moscarelli; Leanne Harling; Hutan Ashrafian; Thanos Athanasiou; Roberto Casula
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-6-18
Journal Detail:
Title:  The international journal of medical robotics + computer assisted surgery : MRCAS     Volume:  -     ISSN:  1478-596X     ISO Abbreviation:  Int J Med Robot     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-6-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101250764     Medline TA:  Int J Med Robot     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 John Wiley & Sons, Ltd.
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