Technical tips in non-robotic endoscopic mitral valve surgery: How to approach and expose the mitral valve

Technical tips in non-robotic endoscopic mitral valve surgery: How to approach and expose the mitral valve

The non-robotic endoscopic mitral valve surgery is performed via a right mini-thoracotomy without the use of rib spreader or robotic assistance. Although it has several advantages over the direct vision minimally invasive and robotic approaches, operating in very limited working space without roboti...

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Veröffentlicht in:Asian Cardiovascular and Thoracic Annals 2022-07, Vol.30 (6), p.645-652
Hauptverfasser: Tabata, Minoru, Nakamura, Ryota, Tatsuki, Suguru
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creator Tabata, Minoru
Nakamura, Ryota
Tatsuki, Suguru
description The non-robotic endoscopic mitral valve surgery is performed via a right mini-thoracotomy without the use of rib spreader or robotic assistance. Although it has several advantages over the direct vision minimally invasive and robotic approaches, operating in very limited working space without robotic assistance is technically demanding. In the first place, it is impossible to perform non-robotic endoscopic mitral valve surgery safely and efficiently without knowing how to approach and expose the mitral valve in very limited working space without robotic assistance. This manuscript introduces detailed technical tips for efficient approach and uncompromised exposure of the mitral valve in non-robotic endoscopic mitral valve surgery, including separate bicaval cannulation, decentralized positioning of the instruments, controlling the direction of traction sutures and appropriate use of retractors.
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title Technical tips in non-robotic endoscopic mitral valve surgery: How to approach and expose the mitral valve
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