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Robotics in cardiac surgery: the Istanbul experience
Ertan Sagbas1, Belhhan Akpinar, Ilhan Sanisoglu
1Departments of Cardiovascular Surgery and Anaesthesia, Florence Nightingale Hospital, Istanbul, Turkey.
Summary
Robotic surgery, utilizing systems like the da Vinci, shows promise in cardiac procedures. This study found successful integration into routine practice with proper training and patient selection.
Area of Science:
- Cardiovascular Surgery
- Robotic Surgery
Background:
- Robots are advanced tools enhancing surgical precision and safety.
- Tele-operated robotic systems, like the da Vinci, are increasingly used in cardiac procedures.
- Robotics offers an enhancement to traditional minimally invasive cardiac surgery.
Purpose of the Study:
- To discuss the clinical experience with the da Vinci robotic system in cardiac surgery.
- To evaluate the feasibility and outcomes of robotic-assisted cardiac procedures.
Main Methods:
- A review of 61 cardiac surgeries performed over 12 months using the da Vinci system.
- Procedures included coronary artery bypass grafting (CABG) and atrial septal defect (ASD) closures.
Main Results:
- Successful robotic integration in 59 coronary artery bypass grafting (CABG) and 2 atrial septal defect (ASD) closures.
- A low conversion rate (3.3%) to median sternotomy due to adhesions.
- No reported procedure- or device-related complications.
Conclusions:
- Robotic surgery is feasible for routine cardiac surgical practice.
- Key factors for successful robotic surgery programs include systematic training, team dedication, and appropriate patient selection.
