| Robot-assisted computer enhanced closed-chest coronary surgery: preliminary experience using a Harmonic Scalpel and ZEUS. | |
MedLine Citation:
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PMID: 11074972 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Successful endoscopic harvesting of arterial conduits is critical to the performance of totally endoscopic bypass grafting. Recent success with computer-enhanced robotic systems in the performance of endoscopic single vessel coronary artery bypass (ENDOCAB) has paved the way for developing techniques for multivessel ENDOCAB. The Harmonic Scalpel (Ethicon Endo-Surgery, Cincinnati, OH) has previously demonstrated versatility and efficacy in manual endoscopic internal thoracic artery (ITA) harvesting. This study was undertaken to determine the feasibility of adapting this technology to a robotic telemanipulation system and its safety and efficacy in telerobotic ITA harvesting. METHODS: The Harmonic Scalpel was adapted to the ZEUS robotic surgical system (Computer Motion, Goleta, CA) and used to harvest the ITA in 19 patients undergoing multivessel off-pump coronary artery bypass (OPCAB) surgery. With the left lung collapsed, the ITA was harvested in all patients with CO2 insufflation through three 5 mm ports in the left chest. Postoperative angiography and transthoracic Doppler studies were performed in all patients. RESULTS: There were no ITA injuries and patients tolerated insufflation without hemodynamic compromise. Side branches were controlled easily without bleeding. Average ITA harvest time was 65 +/- 21 minutes. All vessels were patent after harvesting and demonstrated no angiographic evidence of injury. CONCLUSIONS: This paper demonstrates a technique by which the Harmonic Scalpel can be readily adapted to the ZEUS robotic telemanipulation system. Using this system, ITA's can be safely harvested totally endoscopically within a reasonable time frame for patients undergoing ENDOCAB. |
Authors:
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B Kiaii; W D Boyd; R Rayman; W B Dobkowski; S Ganapathy; G Jablonsky; R J Novick |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The heart surgery forum Volume: 3 ISSN: 1098-3511 ISO Abbreviation: Heart Surg Forum Publication Date: 2000 |
Date Detail:
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Created Date: 2006-04-26 Completed Date: 2006-05-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100891112 Medline TA: Heart Surg Forum Country: United States |
Other Details:
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Languages: eng Pagination: 194-7 Citation Subset: IM |
Affiliation:
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London Health Sciences Centre, London, Ontario, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Angiography Coronary Artery Bypass, Off-Pump / instrumentation* Coronary Disease / radiography, surgery* Equipment Design Female Humans Male Middle Aged Robotics* Surgery, Computer-Assisted / instrumentation* Thoracoscopy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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