Adhesiolysis is Facilitated by Robotic Technology in Reoperative Cardiac Surgery

Over a 2-year period, 5 patients who required reoperative chest surgery underwent robotic adhesiolysis with the da Vinci (Intuitive, Sunnyvale, CA) system. Resternotomy was performed under direct visualization for coronary revascularization (n = 2) or valve replacement (n = 1). A fourth patient requ...

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Veröffentlicht in:The Annals of thoracic surgery 2005-09, Vol.80 (3), p.1103-1105
Hauptverfasser: Martens, Timothy P., Morgan, Jeffrey A., Hefti, Marco M., Brunacci, David A., Cheema, Faisal H., Kesava, Satish K., Xydas, Steve, Dang, Nick C., Vigilance, Deon W., Kohmoto, Takushi, Gorenstein, Lyall A., Smith, Craig R., Argenziano, Michael
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container_end_page 1105
container_issue 3
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container_title The Annals of thoracic surgery
container_volume 80
creator Martens, Timothy P.
Morgan, Jeffrey A.
Hefti, Marco M.
Brunacci, David A.
Cheema, Faisal H.
Kesava, Satish K.
Xydas, Steve
Dang, Nick C.
Vigilance, Deon W.
Kohmoto, Takushi
Gorenstein, Lyall A.
Smith, Craig R.
Argenziano, Michael
description Over a 2-year period, 5 patients who required reoperative chest surgery underwent robotic adhesiolysis with the da Vinci (Intuitive, Sunnyvale, CA) system. Resternotomy was performed under direct visualization for coronary revascularization (n = 2) or valve replacement (n = 1). A fourth patient required coronary revascularization after a previous axilloaxillary bypass. The final case involved the preparation of a substernal pathway for a gastric pull-up. In all cases adhesions were taken down without injury to the underlying structures. All grafts were preserved, and all patients recovered uneventfully. Robotic adhesiolysis is a versatile technique that allows careful lysis of adhesions and minimizes the risk of major complication during reoperative chest surgery.
doi_str_mv 10.1016/j.athoracsur.2004.03.023
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - instrumentation
Cardiac Surgical Procedures - methods
Female
Humans
Male
Medical sciences
Middle Aged
Reoperation - instrumentation
Reoperation - methods
Robotics - instrumentation
Robotics - methods
Sternum - pathology
Sternum - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the respiratory system
Tissue Adhesions - etiology
Tissue Adhesions - surgery
Treatment Outcome
title Adhesiolysis is Facilitated by Robotic Technology in Reoperative Cardiac Surgery
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