Robotically-Assisted Coronary Artery Bypass Grafting
Objectives. Robotic surgery enables to perform coronary surgery totally endoscopically. This report describes our experience using the da Vinci system for coronary artery bypass surgery. Methods. Patients requiring single-or-double vessel revascularization were eligible. The procedure was performed...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.4061/2010/175450 |
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| _version_ | 1832552144763355136 |
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| author | Thierry A. Folliguet Alain Dibie François Philippe Fabrice Larrazet Michel S. Slama François Laborde |
| author_facet | Thierry A. Folliguet Alain Dibie François Philippe Fabrice Larrazet Michel S. Slama François Laborde |
| author_sort | Thierry A. Folliguet |
| collection | DOAJ |
| description | Objectives. Robotic surgery enables to perform coronary surgery totally endoscopically. This report describes our experience using the da Vinci system for coronary artery bypass surgery.
Methods. Patients requiring single-or-double vessel revascularization were eligible. The procedure was performed without cardiopulmonary bypass on a beating heart.
Results. From April 2004 to May 2008, fifty-six patients were enrolled in the study. Twenty-four patients underwent robotic harvesting of the mammary conduit followed by minimal invasive direct coronary artery bypass (MIDCAB), and twenty-three patients had a totally endoscopic coronary artery bypass (TECAB) grafting. Nine patients (16%) were converted to open techniques. The mean total operating time for TECAB was 372±104 minutes and for MIDCAB was 220±69 minutes. Followup was complete for all patients up to one year. There was one hospital death following MIDCAB and two deaths at follow up. Forty-eight patients had an angiogram or CT scan revealing occlusion or anastomotic stenoses (>50%) in 6 patients. Overall permeability was 92%. Conclusions. Robotic surgery can be performed with promising results. |
| format | Article |
| id | doaj-art-266200af92944a28aab42283ec50d01f |
| institution | Kabale University |
| issn | 2090-0597 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-266200af92944a28aab42283ec50d01f2025-02-03T05:59:27ZengWileyCardiology Research and Practice2090-05972010-01-01201010.4061/2010/175450175450Robotically-Assisted Coronary Artery Bypass GraftingThierry A. Folliguet0Alain Dibie1François Philippe2Fabrice Larrazet3Michel S. Slama4François Laborde5Department of Cardio-Vascular Surgery, L'Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014 Paris, FranceDepartment of Cardio-Vascular Surgery, L'Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014 Paris, FranceDepartment of Cardio-Vascular Surgery, L'Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014 Paris, FranceDepartment of Cardio-Vascular Surgery, L'Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014 Paris, FranceDepartment of Cardio-Vascular Surgery, L'Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014 Paris, FranceDepartment of Cardio-Vascular Surgery, L'Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014 Paris, FranceObjectives. Robotic surgery enables to perform coronary surgery totally endoscopically. This report describes our experience using the da Vinci system for coronary artery bypass surgery. Methods. Patients requiring single-or-double vessel revascularization were eligible. The procedure was performed without cardiopulmonary bypass on a beating heart. Results. From April 2004 to May 2008, fifty-six patients were enrolled in the study. Twenty-four patients underwent robotic harvesting of the mammary conduit followed by minimal invasive direct coronary artery bypass (MIDCAB), and twenty-three patients had a totally endoscopic coronary artery bypass (TECAB) grafting. Nine patients (16%) were converted to open techniques. The mean total operating time for TECAB was 372±104 minutes and for MIDCAB was 220±69 minutes. Followup was complete for all patients up to one year. There was one hospital death following MIDCAB and two deaths at follow up. Forty-eight patients had an angiogram or CT scan revealing occlusion or anastomotic stenoses (>50%) in 6 patients. Overall permeability was 92%. Conclusions. Robotic surgery can be performed with promising results.http://dx.doi.org/10.4061/2010/175450 |
| spellingShingle | Thierry A. Folliguet Alain Dibie François Philippe Fabrice Larrazet Michel S. Slama François Laborde Robotically-Assisted Coronary Artery Bypass Grafting Cardiology Research and Practice |
| title | Robotically-Assisted Coronary Artery Bypass Grafting |
| title_full | Robotically-Assisted Coronary Artery Bypass Grafting |
| title_fullStr | Robotically-Assisted Coronary Artery Bypass Grafting |
| title_full_unstemmed | Robotically-Assisted Coronary Artery Bypass Grafting |
| title_short | Robotically-Assisted Coronary Artery Bypass Grafting |
| title_sort | robotically assisted coronary artery bypass grafting |
| url | http://dx.doi.org/10.4061/2010/175450 |
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