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Robotically enhanced coronary artery bypass surgery.

Yugal K Mishra1, H Wasir1, Malhotra Rajneesh1

  • 1Department of Cardiovascular Surgery, Escorts Heart Institute and Research Centre, Okhla Road, New Delhi, 110025 India.

Journal of Robotic Surgery
|December 9, 2014
PubMed
Summary
This summary is machine-generated.

Robotically enhanced surgery enables precise total endoscopic coronary artery bypass grafting. This minimally invasive approach shows high graft patency and short hospital stays, proving its effectiveness for select patients.

Keywords:
Coronary artery bypass graftingCoronary artery diseaseMinimally invasive surgery

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Area of Science:

  • Cardiovascular Surgery
  • Robotic Surgery
  • Minimally Invasive Procedures

Background:

  • Robotically enhanced telemanipulation surgery is advancing cardiac procedures.
  • Totally endoscopic cardiac surgery offers precision for beating or arrested heart operations.

Purpose of the Study:

  • To evaluate the outcomes of robotically enhanced coronary artery bypass surgery.
  • To assess the feasibility of total endoscopic coronary artery bypass grafting.

Main Methods:

  • Utilized the da Vinci telemanipulation system for robotically enhanced coronary artery bypass surgery in 268 patients.
  • Performed total endoscopic coronary artery bypass grafting in 14 patients (12 beating heart, 2 arrested heart).
  • Included endoscopic internal mammary artery takedown and minimally invasive direct coronary artery bypass or thoracotomy in 254 patients.

Main Results:

  • Total endoscopic coronary artery bypass grafting demonstrated high success rates with 100% patency in 13 of 14 patients at 3 months.
  • Mean intensive care unit stay was 1.2 days, and mean hospital stay was 4.5 days, with one in-hospital mortality.
  • Internal mammary artery mobilization and anastomosis times were within acceptable ranges for endoscopic procedures.

Conclusions:

  • Robotically enhanced telemanipulation enables complete endoscopic anastomosis for coronary artery bypass grafting.
  • This technique is effective for single and suitable double vessel disease, with potential for complete myocardial revascularization using both internal mammary arteries.