PMID: 11605613Oct 19, 2001Paper

Initial prospective multicenter clinical trial of robotically-assisted coronary artery bypass grafting

The Annals of Thoracic Surgery
R J DamianoS M Prasad

Abstract

This multicenter prospective trial was designed to assess the safety and efficacy of using a robotically-assisted microsurgical system to create endoscopic coronary anastomoses. . Thirty-two patients scheduled for elective primary coronary surgery underwent endoscopic anastomosis of the left internal thoracic artery (LITA) to the left anterior descending (LAD) artery. Three thoracic ports (two for instruments and one for a camera) were placed, and a robotic system was used to perform the LITA-LAD graft. Conventional techniques were used to perform the other grafts. Thirty-one patients underwent median sternotomy and 1 patient underwent a limited anterior thoracotomy. . Graft flow was measured in the operating room and averaged 37 +/- 19 mL/min. Mean anastomosis time was 24 +/- 9 minutes. There were three intraoperative revisions (9%). Two were for inadequate flow and one for an inadvertent injury. Each of these grafts was successfully revised by hand. There were no technical failures of the robotic system. Average postoperative length of stay was 5.5 +/- 2.7 days. There were three reoperations for bleeding, but none of these were related to the LAD anastomosis. Two months following the operation, selective angiography revealed ...Continue Reading

References

Feb 7, 1998·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·A Garcia-RuizM Gagner
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Dec 29, 1999·The Journal of Thoracic and Cardiovascular Surgery·R J DamianoC E Chambers

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Citations

Jan 17, 2002·Current Treatment Options in Cardiovascular Medicine·Farzan Filsoufi, David H. Adams
Feb 6, 2004·The Journal of Thoracic and Cardiovascular Surgery·J BonattiG Laufer
Sep 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·W Douglas Boyd, Kenneth D Stahl
Jan 10, 2004·The Surgical Clinics of North America·Dieter H BoehmHermann C Reichenspurner
May 23, 2002·Journal of the American College of Surgeons·Walter Hilson Merrill
Apr 28, 2007·International Journal of Surgery·R AggarwalA Darzi
Oct 18, 2006·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Pamela Whitten, Beverly Davenport Sypher
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Dec 20, 2003·Annals of Surgery·Anthony R LanfrancoWilliam C Meyers
Jun 30, 2004·The Annals of Thoracic Surgery·J W Randolph Bolton, Jackie E Connally
Apr 27, 2002·Seminars in Thoracic and Cardiovascular Surgery·W Douglas BoydReiza Rayman
Jan 15, 2013·The Annals of Thoracic Surgery·Nikolaos BonarosJohannes Bonatti
Sep 11, 2004·Mayo Clinic Proceedings·David W MillerDenise K Schlinkert
Nov 12, 2003·The American Journal of Cardiology·Tomislav MihaljevicLawrence H Cohn
Dec 22, 2005·The Annals of Thoracic Surgery·D Glenn Pennington
Apr 12, 2003·Otolaryngologic Clinics of North America·Steven W Guyton
Jan 1, 2009·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Pavan AtluriY Joseph Woo
Oct 1, 2003·IEEE Transactions on Robotics and Automation : a Publication of the IEEE Robotics and Automation Society·Jeremy W CannonDavid F Torchiana
Feb 5, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D NioW A Bemelman
Nov 26, 2002·Neurosurgery·Michael ZimmermannVolker Seifert
Jul 1, 2004·Expert Review of Cardiovascular Therapy·Roberto CasulaRodney Foale
Apr 1, 2004·Hospital Medicine·Sanjay PurkayasthaAra Darzi
Jun 17, 2003·The British Journal of Surgery·L H EadieB R Davidson
May 24, 2007·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Ertan SagbasOsman Bayindir
Dec 19, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Jonathan M HemliNirav C Patel
Dec 6, 2002·Current Opinion in Cardiology·Mitchell J Magee, Michael J Mack
May 6, 2017·Current Treatment Options in Oncology·Zong-Shan ShenSong Fan
May 12, 2006·World Journal of Gastroenterology : WJG·Han-Xin ZhouQun Zheng

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