The First 20 Cases of Cardiac Surgery Using the da Vinci(TM) Surgical System: A Single Center Experience.
- Author:
Hyoung Gon JE
1
;
Yong Jik LEE
;
Sung Ho JUNG
;
Jae Seung JUNG
;
Pil Je KANG
;
Suk Jung CHOO
;
Hyun SONG
;
Cheol Hyun CHUNG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. jwlee@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Minimally invasive surgery;
Robotics;
Heart surgery
- MeSH:
Cardiopulmonary Bypass;
Catheterization;
Heart Arrest, Induced;
Humans;
Jugular Veins;
Korea;
Length of Stay;
Mammary Arteries;
Mitral Valve;
Mitral Valve Insufficiency;
Research Report;
Robotics;
Thoracic Surgery;
Thoracotomy;
Transplants;
Tricuspid Valve;
Vision, Ocular
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2008;41(4):423-429
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The interest in robotic cardiac surgery has recently grown but there has not been much clinical research reported on this. The aim of this study is to examine our initial experience, since August 2007, with robotic cardiac surgery using the da Vince(TM) surgical system and to evaluate the feasibility and safety of it. MATERIAL AND METHOD: Between August and December 2007, a total of 20 patients underwent robotic cardiac surgery using the da Vinci surgical system. For mitral valve repair (n=11), tricuspid valve repair (n=1), and ASD repair (n=1), cannulation, antegrade cardioplegia and transthoracic aortic cross-clamping were conducted for the right femoral vessels and the right internal jugular vein. For minimally invasive direct CABG (MIDCAB) (n=7), the internal thoracic artery (ITA) was harvested with the da Vinci surgical system. RESULT: The mean age of the patients was 50.1 (range: 26~78) years. Three concomitant Maze procedures and one tricuspid annuloplasty were combined with mitral valve repair. The mean cardiopulmonary bypass time was 208.0+/-61.3 minutes and the aortic cross clamp time was 158.8+/-40.6 minutes. No patients showed more than mild mitral regurgitation after repair and the median hospital stay was 4 days. The robotic-harvested ITA was used for either left ITA (n=6) or bilateral ITA (n=1). The mean harvest time was 43.2+/-12.0 minutes. The harvested ITA showed good flow and it was anastomosed under direct vision after left anterolateral thoracotomy. The patency of all the grafts was 100% (18/18) in MIDCAB. CONCLUSION: Robotic cardiac surgery using the da Vinci surgical system was variously adapted to areas such as mitral and tricuspid valve repair, ASD repair and ITA harvest for MIDCAB. The early results of the robotic cardiac surgery showed its safety and feasibility. With this primary report, we anticipate that clinical applications and further studies on robotic cardiac surgery using the da Vinci surgical system will be actively conducted in Korea.
