Clinical use of a computer-enhanced surgical robotic system for endoscopic coronary artery bypass crafting on the beating heart

被引:28
作者
Boehm, DH [1 ]
Reichenspurner, H [1 ]
Detter, C [1 ]
Arnold, M [1 ]
Gulbins, H [1 ]
Meiser, B [1 ]
Reichart, B [1 ]
机构
[1] Univ Hosp Grosshadern, Dept Cardiac Surg, D-81377 Munich, Germany
关键词
robotics; endoscopic coronary artery surgery; off-pump surgery;
D O I
10.1055/s-2000-6902
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of the study was to perform endoscopic coronary artery bypass grafting on the beating heart using a surgical robotic system. In the study, the surgical system ZEUS(TM) was used in combination with 3D visualization for endoscopic coronary artery bypass grafting in 25 patients. In a total of 10 cases, the coronary artery anastomosis was done on the beating heart using endoscopic stabilizers without cardiopulmonary bypass. In all cases, total OR time ranged from 4.0 to 8.0 hours (median 5.5 h); the times for endoscopic coronary artery anastomoses ranged from 14 to 50 minutes (median 25 minutes) with no difference between arrested-heart or beating-heart procedures. All patients had an uneventful angiographic control result. An endoscopic coronary artery anastomosis is possible on the arrested as well as on the beating heart.
引用
收藏
页码:198 / 202
页数:5
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