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Computer-assisted telemanipulation: an enabling technology for endoscopic coronary artery bypass
H Shennib1, A Bastawisy, M J Mack
1Department of Cardiothoracic Surgery, McGill University, Montreal, Quebec, Canada.
The Annals of Thoracic Surgery
|October 13, 1998
Summary
Computer-assisted telemanipulation technology shows promise for totally endoscopic coronary artery bypass grafting. This feasibility study demonstrated the potential for performing quality anastomoses with this advanced surgical tool.
Area of Science:
- Minimally Invasive Surgery
- Robotic Surgery
- Cardiovascular Surgery
Background:
- The goal of minimally invasive coronary artery bypass grafting (CABG) is to achieve totally endoscopic anastomosis.
- This study investigates the feasibility of using computer-assisted telemanipulation for CABG.
Purpose of the Study:
- To evaluate the potential of computer-assisted telemanipulation technology for performing coronary artery bypass grafting.
- To assess the feasibility of totally endoscopic coronary artery anastomosis.
Main Methods:
- An arterial graft to left anterior descending coronary artery anastomosis was performed using Intuitive Telemanipulation Technology.
- The procedure was conducted on an ex vivo swine heart model.
- Key metrics included difficulty, intraoperative events, duration, and quality of the anastomosis.
Main Results:
- Anastomosis was performed with relative ease, taking an average of 14.6 minutes.
- The majority of anastomoses were patent and of good quality.
- One anastomosis showed 30% narrowing.
Conclusions:
- Intuitive Telemanipulation Technology may enable the future performance of quality totally endoscopic coronary artery anastomosis.
- The technology offers facility and acceptable time for performing these complex surgical connections.