Robotic-enhanced Dresden technique for minimally invasive bilateral internal mammary artery grafting
The introduction of robotic-enhanced endoscopic instrumentation systems allows the surgeon to perform arterial revascularization for multivessel coronary artery disease without sternotomy. From April 1999, 27 patients (6 female, 21 male, median age 63 +/- 8.2 years) suffering from multivessel corona...
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| Veröffentlicht in: | The Heart surgery forum 2000, Vol.3 (4), p.319-321 |
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| creator | Kappert, U Cichon, R Gulielmos, V Schneider, J Schramm, I Nicolai, J Tugtekin, S M Schueler, S |
| description | The introduction of robotic-enhanced endoscopic instrumentation systems allows the surgeon to perform arterial revascularization for multivessel coronary artery disease without sternotomy.
From April 1999, 27 patients (6 female, 21 male, median age 63 +/- 8.2 years) suffering from multivessel coronary artery disease were treated surgically using arterial revascularization by means of bilateral internal mammary artery (BIMA) grafting. Both arteries were harvested totally endoscopically using the da Vinci robotic surgical system (Intuitive Surgical, Mountain View, CA). These vessels were anastomosed using the "Dresden Technique" via a left minithoracotomy in the second intercostal space.
All patients survived the operation. The mean duration of surgery was 240 +/- 79.4 minutes. Bilateral internal mammary artery harvesting time was 88.5 +/- 15.9 minutes, and cross-clamp time was 38 +/- 10.9 minutes. An average of 2.07 anastomoses were performed per operation. Postoperatively, the patients remained in ICU for 20 +/- 2.4 hours. One patient needed reexploration due to bleeding.
Bilateral internal mammary artery harvesting can be achieved safely with the use of wrist-enhanced instrumentation. The robotic surgical system introduces into surgical practice a new type of treatment of coronary artery disease, helping to perform arterial revascularization with a distinctly reduced surgical trauma. |
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From April 1999, 27 patients (6 female, 21 male, median age 63 +/- 8.2 years) suffering from multivessel coronary artery disease were treated surgically using arterial revascularization by means of bilateral internal mammary artery (BIMA) grafting. Both arteries were harvested totally endoscopically using the da Vinci robotic surgical system (Intuitive Surgical, Mountain View, CA). These vessels were anastomosed using the "Dresden Technique" via a left minithoracotomy in the second intercostal space.
All patients survived the operation. The mean duration of surgery was 240 +/- 79.4 minutes. Bilateral internal mammary artery harvesting time was 88.5 +/- 15.9 minutes, and cross-clamp time was 38 +/- 10.9 minutes. An average of 2.07 anastomoses were performed per operation. Postoperatively, the patients remained in ICU for 20 +/- 2.4 hours. One patient needed reexploration due to bleeding.
Bilateral internal mammary artery harvesting can be achieved safely with the use of wrist-enhanced instrumentation. The robotic surgical system introduces into surgical practice a new type of treatment of coronary artery disease, helping to perform arterial revascularization with a distinctly reduced surgical trauma.</description><identifier>ISSN: 1098-3511</identifier><identifier>PMID: 11178294</identifier><language>eng</language><publisher>United States</publisher><subject>Aged ; Coronary Disease - diagnosis ; Coronary Disease - surgery ; Female ; Follow-Up Studies ; Graft Survival ; Humans ; Internal Mammary-Coronary Artery Anastomosis - instrumentation ; Internal Mammary-Coronary Artery Anastomosis - methods ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures - instrumentation ; Minimally Invasive Surgical Procedures - methods ; Robotics ; Sensitivity and Specificity ; Severity of Illness Index ; Tissue and Organ Harvesting - methods ; Treatment Outcome ; Vascular Patency</subject><ispartof>The Heart surgery forum, 2000, Vol.3 (4), p.319-321</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11178294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kappert, U</creatorcontrib><creatorcontrib>Cichon, R</creatorcontrib><creatorcontrib>Gulielmos, V</creatorcontrib><creatorcontrib>Schneider, J</creatorcontrib><creatorcontrib>Schramm, I</creatorcontrib><creatorcontrib>Nicolai, J</creatorcontrib><creatorcontrib>Tugtekin, S M</creatorcontrib><creatorcontrib>Schueler, S</creatorcontrib><title>Robotic-enhanced Dresden technique for minimally invasive bilateral internal mammary artery grafting</title><title>The Heart surgery forum</title><addtitle>Heart Surg Forum</addtitle><description>The introduction of robotic-enhanced endoscopic instrumentation systems allows the surgeon to perform arterial revascularization for multivessel coronary artery disease without sternotomy.
From April 1999, 27 patients (6 female, 21 male, median age 63 +/- 8.2 years) suffering from multivessel coronary artery disease were treated surgically using arterial revascularization by means of bilateral internal mammary artery (BIMA) grafting. Both arteries were harvested totally endoscopically using the da Vinci robotic surgical system (Intuitive Surgical, Mountain View, CA). These vessels were anastomosed using the "Dresden Technique" via a left minithoracotomy in the second intercostal space.
All patients survived the operation. The mean duration of surgery was 240 +/- 79.4 minutes. Bilateral internal mammary artery harvesting time was 88.5 +/- 15.9 minutes, and cross-clamp time was 38 +/- 10.9 minutes. An average of 2.07 anastomoses were performed per operation. Postoperatively, the patients remained in ICU for 20 +/- 2.4 hours. One patient needed reexploration due to bleeding.
Bilateral internal mammary artery harvesting can be achieved safely with the use of wrist-enhanced instrumentation. The robotic surgical system introduces into surgical practice a new type of treatment of coronary artery disease, helping to perform arterial revascularization with a distinctly reduced surgical trauma.</description><subject>Aged</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary Disease - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Internal Mammary-Coronary Artery Anastomosis - instrumentation</subject><subject>Internal Mammary-Coronary Artery Anastomosis - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Robotics</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>Tissue and Organ Harvesting - methods</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><issn>1098-3511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE1LAzEYhHNQbK3-BcnJ20I-NsnuUeonFATR8_Lu5k0bSbI12Rb6711RTzMMD8MwZ2TJWdtUUnG-IJelfDImtBD6giw456YRbb0k9m3sx8kPFaYdpAEtvc9YLCY64bBL_uuA1I2ZRp98hBBO1KcjFH9E2vsAE2YIczRrmk2EGCGfKOQ5ONFtBjf5tL0i5w5Cwes_XZGPx4f39XO1eX16Wd9tqr1gZqoaDa3QTsraNM5ZJQ0fgHHesxr7WnHplGxbzhBkY7V2QqrGGYEMassstnJFbn9793mch5epi74MGAIkHA-lM0IpU2s9gzd_4KGPaLt99j-7u_9f5DfLYV90</recordid><startdate>2000</startdate><enddate>2000</enddate><creator>Kappert, U</creator><creator>Cichon, R</creator><creator>Gulielmos, V</creator><creator>Schneider, J</creator><creator>Schramm, I</creator><creator>Nicolai, J</creator><creator>Tugtekin, S M</creator><creator>Schueler, S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2000</creationdate><title>Robotic-enhanced Dresden technique for minimally invasive bilateral internal mammary artery grafting</title><author>Kappert, U ; Cichon, R ; Gulielmos, V ; Schneider, J ; Schramm, I ; Nicolai, J ; Tugtekin, S M ; Schueler, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p207t-86a926f33478ffd5371ca011b04eb4513f539910ea38d66f2358f72e0a4d0de93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Coronary Disease - diagnosis</topic><topic>Coronary Disease - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>Internal Mammary-Coronary Artery Anastomosis - instrumentation</topic><topic>Internal Mammary-Coronary Artery Anastomosis - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - instrumentation</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Robotics</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>Tissue and Organ Harvesting - methods</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kappert, U</creatorcontrib><creatorcontrib>Cichon, R</creatorcontrib><creatorcontrib>Gulielmos, V</creatorcontrib><creatorcontrib>Schneider, J</creatorcontrib><creatorcontrib>Schramm, I</creatorcontrib><creatorcontrib>Nicolai, J</creatorcontrib><creatorcontrib>Tugtekin, S M</creatorcontrib><creatorcontrib>Schueler, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Heart surgery forum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kappert, U</au><au>Cichon, R</au><au>Gulielmos, V</au><au>Schneider, J</au><au>Schramm, I</au><au>Nicolai, J</au><au>Tugtekin, S M</au><au>Schueler, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic-enhanced Dresden technique for minimally invasive bilateral internal mammary artery grafting</atitle><jtitle>The Heart surgery forum</jtitle><addtitle>Heart Surg Forum</addtitle><date>2000</date><risdate>2000</risdate><volume>3</volume><issue>4</issue><spage>319</spage><epage>321</epage><pages>319-321</pages><issn>1098-3511</issn><abstract>The introduction of robotic-enhanced endoscopic instrumentation systems allows the surgeon to perform arterial revascularization for multivessel coronary artery disease without sternotomy.
From April 1999, 27 patients (6 female, 21 male, median age 63 +/- 8.2 years) suffering from multivessel coronary artery disease were treated surgically using arterial revascularization by means of bilateral internal mammary artery (BIMA) grafting. Both arteries were harvested totally endoscopically using the da Vinci robotic surgical system (Intuitive Surgical, Mountain View, CA). These vessels were anastomosed using the "Dresden Technique" via a left minithoracotomy in the second intercostal space.
All patients survived the operation. The mean duration of surgery was 240 +/- 79.4 minutes. Bilateral internal mammary artery harvesting time was 88.5 +/- 15.9 minutes, and cross-clamp time was 38 +/- 10.9 minutes. An average of 2.07 anastomoses were performed per operation. Postoperatively, the patients remained in ICU for 20 +/- 2.4 hours. One patient needed reexploration due to bleeding.
Bilateral internal mammary artery harvesting can be achieved safely with the use of wrist-enhanced instrumentation. The robotic surgical system introduces into surgical practice a new type of treatment of coronary artery disease, helping to perform arterial revascularization with a distinctly reduced surgical trauma.</abstract><cop>United States</cop><pmid>11178294</pmid><tpages>3</tpages></addata></record> |
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| ispartof | The Heart surgery forum, 2000, Vol.3 (4), p.319-321 |
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| subjects | Aged Coronary Disease - diagnosis Coronary Disease - surgery Female Follow-Up Studies Graft Survival Humans Internal Mammary-Coronary Artery Anastomosis - instrumentation Internal Mammary-Coronary Artery Anastomosis - methods Male Middle Aged Minimally Invasive Surgical Procedures - instrumentation Minimally Invasive Surgical Procedures - methods Robotics Sensitivity and Specificity Severity of Illness Index Tissue and Organ Harvesting - methods Treatment Outcome Vascular Patency |
| title | Robotic-enhanced Dresden technique for minimally invasive bilateral internal mammary artery grafting |
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