Robotic Surgery, the First 100 Cases: Where Do We Go from Here?

  • Alan H. Menkis
  • Kojiro Kodera
  • Bob Kiaii
  • Stuart A. Swinamer
  • Reiza Rayman
  • W. Douglas Boyd

Abstract

Background: Since the robot-assisted cardiac surgery program at this center was initiated in September 1998 the results have been regularly critically evaluated. We report a retrospective review of the first 100 robotic procedures and their evolution.

Methods: Between September 1998 and May 2001, 146 patients underwent robot-assisted procedures. All procedures were performed using the Aesop robotically controlled camera or the Zeus robotic system. A harmonic scalpel was used for all internal thoracic artery (ITA) dissections whether the dissections were performed manually or with the Zeus robotic system.

Results: There were 123 closed-heart and 23 open-heart procedures, which included 8 atrial-septal defect repairs, 11 mitral valve repairs, 4 mitral valve replacements, 57 Aesop ITA takedowns, 68 Zeus ITA takedowns, and 13 totally endoscopic coronary artery bypass grafts. Graft patency in Aesop and Zeus ITA takedown groups was 96%. All the patients were New York Heart Association class I after their procedures.

Conclusion: With the development of surgical robots, it has been possible to perform endoscopic cardiac surgery for selected cases. Future directions will be demonstrated, including telementoring, telesurgery, and Zeus-assisted initiatives in cardiac surgery and other surgical disciplines.

References

Autschbach R, Onnasch JF, Falk V, et al. 2000. The Leipzig experience with robotic valve surgery. J Card Surg 15:82-7.\nBoyd WD, Rayman R, Desai DD, et al. 2000. Closed-chest coronary artery bypass grafting on the beating heart with the use of a computer-enhanced surgical robotic system. J Thorac Cardiovasc Surg 120:807-9.\nDamiano RJ, Ehrman WJ, Ducko CT, et al. 2000. Initial United States clinical trial of robotically assisted endoscopic coronary artery bypass grafting. J Thorac Cardiovasc Surg 119:77-82.\nKiaii B, Boyd WD, Rayman R, et al. 2000. Robot-assisted computer enhanced closed-chest coronary surgery: preliminary experience using a Harmonic scalpel and Zeus. Heart Surg Forum 3:194-7.\nKodera K, Kiaii B, Rayman R, Novick RJ, Boyd WD. 2001. Closed chest CABG on the beating heart with a computer-enhanced articulating system: case report. Heart Surg Forum 4:305-6.\nTorraca L, Ismeno G, Alfieri O. 2001. Totally endoscopic computer-enhanced atrial septal defect closure in six patients. Ann Thorac Surg 72:1354-7.\n
Published
2005-01-04
How to Cite
Menkis, A. H., Kodera, K., Kiaii, B., Swinamer, S. A., Rayman, R., & Boyd, W. D. (2005). Robotic Surgery, the First 100 Cases: Where Do We Go from Here?. The Heart Surgery Forum, 7(1), E49-E52. https://doi.org/10.1532/hsf.1160
Section
Articles

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