Document Detail


Robotic replacement of the descending aorta in human cadaver.
MedLine Citation:
PMID:  16934102     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Robot-assisted replacement of the thoracic aorta was performed in a human cadaver. Temporary shunt bypass was established by inserting a left axillary artery catheter and directing it through the aortic arch toward the right femoral artery through the abdominal aorta. The technique utilized the da Vinci surgical system inserted through the 4-cm supramammary working port and two additional thoracoscopic ports. The working port allowed the introduction of an endoscope, endoscopic instruments, and artificial graft and suture materials. The aorta was dissected using the robotic instruments and was clamped with two transthoracic clamps. After transaction of the aorta, a 20-mm polytetrafluoroethylene graft was cut and an end-to-end anastomosis was then performed with running 3-0 Prolene sutures with robotic instruments. The robotic system provides superior optics and allows for enhanced dexterity. Minimally invasive robotic replacement of the descending aorta is an effective procedure and may add benefits for both surgeon and patients.
Authors:
Norihiko Ishikawa; You Su Sun; L Wiley Nifong; Hiroshi Ohtake; Go Watanabe; W Randolph Chitwood
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Artificial organs     Volume:  30     ISSN:  0160-564X     ISO Abbreviation:  Artif Organs     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-28     Completed Date:  2007-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802778     Medline TA:  Artif Organs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  719-21     Citation Subset:  IM    
Affiliation:
Center for Robotics and Minimally Invasive Surgery, Brody School of Medicine at East Carolina University, Greenville, NC 27858, USA. nori-i@mnx.jp
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MeSH Terms
Descriptor/Qualifier:
Aorta, Thoracic / surgery*
Blood Vessel Prosthesis Implantation / instrumentation*,  methods
Cadaver
Humans
Male
Robotics*
Surgery, Computer-Assisted / instrumentation*,  methods
Suture Techniques
Thoracoscopy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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