Totally endoscopic atrial septal defect repair with robotic assistance

被引:1
|
作者
Argenziano, N
Oz, MC
DeRose, JJ
Ashton, RC
Beck, J
Wang, F
Chitwood, WR
Nifong, LW
Dimitui, J
Rose, EA
Smith, CR
机构
[1] Columbia Univ Coll Phys & Surg, Div Cardiothorac Surg, New York, NY 10032 USA
[2] E Carolina Univ, Sch Med, Dept Cardiothorac Surg, Greenville, NC USA
来源
HEART SURGERY FORUM | 2002年 / 5卷 / 03期
关键词
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The development of minimally invasive cardiac surgery has been characterized by the performance of increasingly complex operations through progressively smaller incisions. Computer (robotic) enhancement has emerged as a potential facilitator of these procedures, initially by providing enhanced endoscopic camera control and, more recently, by allowing the manipulation of surgical instruments through limited thoracic incisions. This report describes the next step in this progression, namely the performance of an atrial septal defect (ASD) repair entirely through thoracoscopic port incisions. This represents the first U.S. application of robotic technology for totally endoscopic open-heart surgery Materials and Methods: A 33-year-old woman with a secundum atrial septal defect underwent totally endoscopic repair through four port incisions by means of the Da Vinci(TM) (Intuitive Surgical, Mountain View, CA) robotic surgical system. Cardiopulmonary bypass was achieved peripherally (femoral Estech endoaortic balloon cannula; femoral and right internal jugular venous Bio-medicus cannulae). The myocardium was protected with antegrade cold blood cardioplegia delivered through the distal port of the arterial cannula. After port insertion, the entire operation, including pericardiotomy, bicaval occlusion, atriotomy, atrial septopexy, and atrial closure, was performed by computer-aided control of a camera and two instrument arms manipulated by a surgeon seated 15 feet away. The fourth port was used for suction and suture passage by the patient-side assistant. The aortic cross-clamp time was 43 minutes, and the postoperative transesophageal echocardiogram demonstrated normal ventricular function and the absence of interatrial shunting. The patient was extubated on the night of surgery, was ambulatory within 15 hours, and was discharged on the morning of postoperative day 3, 63 hours after the procedure. At 30-day follow-up, the patient was well and without complaints, and transthoracic echocardiogram confirmed the continued absence of interatrial shunting. Conclusions: Computer-aided robotic surgical technology can be used to perform open-heart procedures with a totally endoscopic approach. The benefits of this approach may include decreased perioperative pain, decreased recovery times, and improved cosmesis and patient acceptance. Clinical trials currently in progress will demonstrate whether this technology will be of reproducible value in the management of patients with intracardiac disease on a larger scale.
引用
收藏
页码:294 / 297
页数:4
相关论文
共 50 条
  • [1] Totally endoscopic atrial septal defect repair with robotic assistance
    Argenziano, M
    Oz, MC
    Kohmoto, T
    Morgan, J
    Dimitui, J
    Mongero, L
    Beck, J
    Smith, CR
    CIRCULATION, 2003, 108 (10) : 191 - 194
  • [2] Totally endoscopic robotic repair of coronary sinus atrial septal defect
    Onan, Burak
    Aydin, Unal
    Basgoze, Serdar
    Bakir, Ihsan
    INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2016, 23 (04) : 662 - 664
  • [3] Totally Endoscopic Robotic Atrial Septal Defect Repair on the Beating Heart
    Gao, Changqing
    Yang, Ming
    Wang, Gang
    Wang, Jiali
    Xiao, Cangsong
    Wu, Yang
    Li, Jiachun
    HEART SURGERY FORUM, 2010, 13 (03): : E155 - E158
  • [4] Totally Endoscopic Robotic Ventricular Septal Defect Repair
    Gao, Changqing
    Yang, Ming
    Wang, Gang
    Wang, Jiali
    Xiao, Cangsong
    Zhao, Yue
    INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY, 2010, 5 (04) : 278 - 280
  • [5] Anesthesia management of totally endoscopic atrial septal defect repair with a robotic surgical system
    Wang, Gang
    Gao, Changqing
    Zhou, Qi
    Chen, Tingting
    Wang, Yao
    Wang, Jiali
    Li, Jiachun
    JOURNAL OF CLINICAL ANESTHESIA, 2011, 23 (08) : 621 - 625
  • [6] Totally endoscopic robotic ventricular septal defect repair in the adult
    Gao, Changqing
    Yang, Ming
    Wang, Gang
    Xiao, Cangsong
    Wang, Jiali
    Zhao, Yue
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2012, 144 (06): : 1404 - 1407
  • [7] Robotically assisted, totally endoscopic atrial septal defect repair
    Argenziano, M
    Kohmoto, T
    Garrido, M
    Dimitui, J
    Beck, J
    Mongero, L
    Hermoni, H
    Oz, M
    Smith, CR
    CIRCULATION, 2002, 106 (19) : 623 - 624
  • [8] Experience on the way to totally endoscopic atrial septal defect repair
    Bonaros, N
    Schachner, T
    Oehlinger, A
    Jonetzko, P
    Mueller, S
    Moes, N
    Kolbitsch, C
    Mair, P
    Putz, G
    Laufer, G
    Bonatti, J
    HEART SURGERY FORUM, 2004, 7 (05): : E440 - E445
  • [9] Totally endoscopic robotic repair of coronary sinus atrial septal defect with concomitant tricuspid annuloplasty
    Noda, Kazuki
    Takahashi, Yosuke
    Morisaki, Akimasa
    Sakon, Yoshito
    Nishiya, Kenta
    Inno, Goki
    Nishimoto, Yukihiro
    Nagao, Munehide
    Shibata, Toshihiko
    GENERAL THORACIC AND CARDIOVASCULAR SURGERY CASES, 2024, 3 (01):
  • [10] Totally thoracoscopic repair of atrial septal defect without robotic assistance: A single-center experience
    Ma, Zeng-Shan
    Dong, Ming-Feng
    Yin, Qiu-Yang
    Feng, Zhi-Yu
    Wang, Le-Xin
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2011, 141 (06): : 1380 - 1383