Document Detail


Toward totally endoscopic coronary artery surgery.
MedLine Citation:
PMID:  14691714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Here we explore a method of using robotics to reduce morbidity and mortality in conventional coronary surgery. METHODS: Using a robotic surgical system two surgeons completed five steps: (1) 80 synthetic suture exercises; (2) 76 left internal thoracic artery to left anterior descending (LIMA-to-LAD) on porcine hearts; (3) cadaveric port placement for assessing optimal access; (4) endoscopic stabilization in the live porcine model; and, finally (5) eight clinical LIMA-to-LADs performed robotically. RESULTS: After 70 hours training, mean dry lab times fell from 7.0 and 5.8 min to 5.7 and 5.1 min in the two surgeonstab series. Wet lab times fell from 40.1 and 28.5 min to 28.8 and 19.2 min. In the clinical series of eight patients there were no mortalities; all had uncomplicated postoperative recovery and all were angina free at 6-week follow-up. CONCLUSION: The learning curve for robotic training is short, and reproducible results can be achieved clinically, after appropriate training, resulting in real patient benefit.
Authors:
R H J Trimlett; A C De Souza; A S Coonar; K M Jurgens; R Kuenzler; J R Pepper
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2003-12-29
Journal Detail:
Title:  Surgical endoscopy     Volume:  18     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-03-25     Completed Date:  2004-08-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  319-22     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Royal Brompton Hospital, Sydney Street, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Animals
Coronary Artery Bypass / instrumentation,  methods*
Coronary Vessels / surgery*
Endoscopy / methods*
Equipment Design
Humans
Learning
Reproducibility of Results
Robotics*
Suture Techniques
Swine
Time Factors

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


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