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Robotic cardiac surgery

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https://www.readbyqxmd.com/read/27922989/totally-endoscopic-robotic-correction-of-cor-triatriatum-sinister-coexisting-with-atrial-septal-defect
#1
Changqing Gao, Ming Yang, Cangsong Xiao, Huajun Zhang, Gang Wang
Cor triatriatum sinister (CTS) is a rare congenital cardiac anomaly and is mainly corrected through conventional surgery through sternotomy. We described our successful novel surgical technique of totally robotic correction of CTS in one case of CTS with concomitant repair of atrial septal defect using da Vinci SI Surgical System (Intuitive Surgical, Inc, Sunnyvale, CA USA) with excellent surgical outcome. We conclude that robotic correction of CTS is a feasible and safe alternative to conventional surgical technique...
December 5, 2016: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/27862833/the-role-of-visual-and-direct-force-feedback-in-robotics-assisted-mitral-valve-annuloplasty
#2
Maria E Currie, Ali Talasaz, Reiza Rayman, Michael W A Chu, Bob Kiaii, Terry Peters, Ana Luisa Trejos, Rajni Patel
BACKGROUND: The objective of this work was to determine the effect of both direct force feedback and visual force feedback on the amount of force applied to mitral valve tissue during ex vivo robotics-assisted mitral valve annuloplasty. METHODS: A force feedback-enabled master-slave surgical system was developed to provide both visual and direct force feedback during robotics-assisted cardiac surgery. This system measured the amount of force applied by novice and expert surgeons to cardiac tissue during ex vivo mitral valve annuloplasty repair...
November 16, 2016: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/27746281/do-renin-angiotensin-blockers-affect-renal-function-and-cardiac-outcomes-in-patients-undergoing-partial-nephrectomy
#3
Yaw A Nyame, Helen Liang, Hans C Arora, Bradley C Gill, Peter Caputo, Daniel Ramirez, Matthew J Maurice, Khaled Fareed, Robert J Stein, Georges-Pascal Haber, Andrew J Stephenson, Amr Fergany, Jihad Kaouk
PURPOSE: Currently to our knowledge no data exist to guide renal surgeons on the perioperative use of renin-angiotensin blockers despite potential cardiorenal benefits. We aimed to assess the impact of resuming renin-angiotensin blockers on postoperative renal function and adverse cardiac events following partial nephrectomy. MATERIALS AND METHODS: This is an observational analysis of patients who underwent robot-assisted laparoscopic partial nephrectomy from 2006 to 2014 at a single institution...
October 13, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27644009/the-feasibility-of-a-completely-automated-total-iv-anesthesia-drug-delivery-system-for-cardiac-surgery
#4
Cedrick Zaouter, Thomas M Hemmerling, Romain Lanchon, Emanuela Valoti, Alain Remy, Sébastien Leuillet, Alexandre Ouattara
BACKGROUND: In this pilot study, we tested a novel automatic anesthesia system for closed-loop administration of IV anesthesia drugs for cardiac surgical procedures with cardiopulmonary bypass. This anesthesia drug delivery robot integrates all 3 components of general anesthesia: hypnosis, analgesia, and muscle relaxation. METHODS: Twenty patients scheduled for elective cardiac surgery with cardiopulmonary bypass were enrolled. Propofol, remifentanil, and rocuronium were administered using closed-loop feedback control...
October 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27585205/evolution-of-cardiac-biomodels-from-computational-to-therapeutics
#5
Alwin Kumar Rathinam, Raja Amin Raja Mokhtar
Biomodeling the human anatomy in exact structure and size is an exciting field of medical science. Utilizing medical data from various medical imaging topography, the data of an anatomical structure can be extracted and converted into a three-dimensional virtual biomodel; thereafter a physical biomodel can be generated utilizing rapid prototyping machines. Here, we have reviewed the utilization of this technology and have provided some guidelines to develop biomodels of cardiac structures. Cardiac biomodels provide insights for cardiothoracic surgeons, cardiologists, and patients alike...
2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/27565964/a-comparative-analysis-of-the-effects-of-sevoflurane-and-propofol-on-cerebral-oxygenation-during-steep-trendelenburg-position-and-pneumoperitoneum-for-robotic-assisted-laparoscopic-prostatectomy
#6
Aya Doe, Motoi Kumagai, Yuichiro Tamura, Akira Sakai, Kenji Suzuki
PURPOSE: Steep Trendelenburg position and pneumoperitoneum during robotic-assisted laparoscopic prostatectomy (RALP) increase intracranial pressure (ICP) and may alter cerebral blood flow (CBF) and oxygenation. Volatile anesthetics and propofol have different effects on ICP, CBF, and cerebral metabolic rate and may have different impact on cerebral oxygenation during RALP. In this study, we measured jugular venous bulb oxygenation (SjO2) and regional oxygen saturation (SctO2) in patients undergoing RALP to evaluate cerebral oxygenation and compared the effects of sevoflurane and propofol...
December 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/27561177/comparison-of-endoscopic-robotic-versus-sternotomy-approach-for-the-resection-of-left-atrial-tumors
#7
Emmanuel Moss, Michael E Halkos, Jeffrey S Miller, Douglas A Murphy
OBJECTIVE: Primary cardiac tumors most commonly occur in the left atrium. The aim of this study was to compare outcomes among patients undergoing isolated left atrial tumor resection via sternotomy or robotic approach. METHODS: From 2003 to 2013, 69 patients underwent isolated left atrial tumor resection at 3 affiliated hospitals with either a sternotomy (n = 39) or robotic approach (n = 30). A retrospective review of prospectively collected data was performed, and outcomes were compared between the sternotomy and robotic groups...
July 2016: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/27440015/-robot-assisted-coronary-artery-bypass-grafting
#8
Norihiko Ishikawa, Go Watanabe
The application for robot-assisted coronary surgery ranges from internal thoracic artery (ITA) harvesting with hand-sewn anastomoses to totally endoscopic coronary artery bypass grafting (TECAB), either on- or off-pump. The bilateral IMA can be harvested with the aid of a surgical robot and then multivessel bypass grafting can follow. Such robot-assisted minimally invasive direct coronary artery bypass grafting is called "ThoraCAB". Surgical robots cannot only endoscopically harvest the ITA but they can also anastomose the coronary artery in TECAB...
July 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/27428342/-the-third-wave-of-cardiac-surgery
#9
Carlos Riera-Kinkel
A review of the history of cardiac surgery around the world is made divided into three stages, the first since the beginning of humanity until 300 years BC; the second moment shows how comes the platform that would give the anatomical and functional bases of the cardiovascular system. This historic moment includes: 1. the description and analysis of the function of blood and its components; 2. the description of the normal and abnormal Anatomy of the human heart and its vessels; 3. the anatomic and functional correlation: Foundation of the deductive thinking, and 4...
September 2016: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/27397447/anesthetic-implications-of-subxiphoid-coronary-artery-bypass-surgery
#10
Murali Chakravarthy, Muralimanohar Veerappa, Vivek Jawali, Nischal Pandya, Jayaprakash Krishnamoorthy, Geetha Muniraju, Antony George, Jitumoni Baishya
BACKGROUND: Minimal invasive surgeries are carried out to benefit the patient with less pain, blood loss, mechanical ventilation and hospital stay; a smaller scar is not the aim. Minimal invasive cardiac surgeries are carried out via small sternotomy, small thoracotomy and via robotic arms. Subxiphoid route is a novel method and avoids sternotomy. AIM: This case series is an attempt to understand the anesthetic modifications required. Secondly, whether it is feasible to carry out subxiphoid coronary artery bypass surgery...
July 2016: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/27354465/totally-endoscopic-robotic-repair-of-coronary-sinus-atrial-septal-defect
#11
Burak Onan, Unal Aydin, Serdar Basgoze, Ihsan Bakir
Coronary sinus atrial septal defect is a rare congenital cardiac anomaly in adults. Patients with this anomaly are generally treated using conventional sternotomy or thoracotomy incisions. However, robotic surgery can be a feasible alternative in this anomaly. We report an adult patient, who presented with coronary sinus atrial septal defect. A totally endoscopic robotic repair was successfully done through a right atriotomy approach in this patient.
October 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27344445/robotic-atrial-septal-defect-closure-and-tricuspid-annuloplasty-in-a-case-of-situs-inversus-totalis-with-dextrocardia
#12
Burak Onan, Unal Aydin, Zeynep Kahraman, Ihsan Bakir
Situs inversus totalis (SIT) with dextrocardia is an uncommon congenital positional anomaly, which is characterized by a symmetrical 'mirror-image' orientation of all organs in relation to the midline. Although sternotomy and thoracotomy is traditionally used in patients with SIT with dextrocardia, a totally endoscopic robotic surgery is an alternative surgical approach to intracardiac anomalies. Placement of robotic ports, transthoracic aortic clamp, cardioplegia delivery, and peripheral vascular cannulation is made from the left side of the chest, as a mirror orientation of the right-sided robotic cardiac procedures...
June 25, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27343905/blazing-the-trail-for-robot-assisted-cardiac-surgery
#13
EDITORIAL
Eric J Lehr
No abstract text is available yet for this article.
July 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27343904/pathway-for-surgeons-and-programs-to-establish-and-maintain-a-successful-robot-assisted-adult-cardiac-surgery-program
#14
EDITORIAL
Evelio Rodriguez, L Wiley Nifong, Johannes Bonatti, Roberto Casula, Volkmar Falk, Thierry A Folliguet, Bob B Kiaii, Michael J Mack, Tomislav Mihaljevic, J Michael Smith, Rakesh M Suri, Joseph E Bavaria, Thomas E MacGillivray, W Randolph Chitwood
No abstract text is available yet for this article.
July 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27343505/pathway-for-surgeons-and-programs-to-establish-and-maintain-a-successful-robot-assisted-adult-cardiac-surgery-program
#15
Evelio Rodriguez, L Wiley Nifong, Johannes Bonatti, Roberto Casula, Volkmar Falk, Thierry A Folliguet, Bob B Kiaii, Michael J Mack, Tomislav Mihaljevic, J Michael Smith, Rakesh M Suri, Joseph E Bavaria, Thomas E MacGillivray, W Randolph Chitwood
No abstract text is available yet for this article.
July 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27343489/blazing-the-trail-for-robot-assisted-cardiac-surgery
#16
EDITORIAL
Eric J Lehr
No abstract text is available yet for this article.
July 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27296041/the-curie-da-vinci-connection-5-years-experience-with-laparoscopic-robot-assisted-implantation-for-high-dose-rate-brachytherapy-of-solitary-t2-bladder-tumors
#17
Elzbieta M van der Steen-Banasik, Geert A H J Smits, Bernard J Oosterveld, Theo Janssen, Andries G Visser
PURPOSE: To report experience and early results of laparoscopic implantation for interstitial brachytherapy (BT) of solitary bladder tumors and the feasibility of a high-dose-rate (HDR) schedule. METHODS AND MATERIALS: From December 2009 to April 2015, 57 patients with a T2 solitary bladder tumor were treated in Arnhem with transurethral bladder resection followed by external beam irradiation, applied to the bladder and regional iliac lymph nodes, 40 Gy in 20 fractions, 5 fractions per week, and within 1 week interstitial HDR BT, in selected cases combined with partial cystectomy and lymph node dissection...
August 1, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/27295770/-evolution-of-minimally-invasive-cardiac-surgery
#18
Tomoyuki Fujita, Junjiro Kobayashi
Minimally invasive surgery is an attractive choice for patients undergoing major cardiac surgery. We review the history of minimally invasive valve surgery in this article. Due to many innovations in surgical tools, cardiopulmonary bypass systems, visualization systems, and robotic systems as well as surgical techniques, minimally invasive cardiac surgery has become standard care for valve lesion repair. In particular, aortic cross-clamp techniques and methods for cardioplegia using the Chitwood clamp and root cannula or endoballoon catheter in combination with femoro-femoral bypass systems have made such procedures safer and more practical...
March 2016: Nihon Geka Gakkai Zasshi
https://www.readbyqxmd.com/read/27251811/is-rhabdomyolysis-an-anaesthetic-complication-in-patients-undergoing-robot-assisted-radical-prostatectomy
#19
Gulsah Karaoren, Nurten Bakan, Eyüp Veli Kucuk, Eyup Gumus
BACKGROUND: In patients undergoing robot-assisted radical prostatectomy (RARP), pneumoperitoneum, intraoperative fluid restriction and prolonged Trendelenburg position may cause rhabdomyolysis (RM) due to hypoperfusion in gluteal muscles and lower extremities. In this study, it was aimed to assess effects of body mass index (BMI), comorbidities, intra-operative positioning, fluid restriction and length of surgery on the development of RM in RARP patients during the perioperative period...
April 27, 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27240135/comparison-of-robotic-and-laparoscopic-colorectal-resections-with-respect-to-30-day-perioperative-morbidity
#20
Adina E Feinberg, Ahmad Elnahas, Shaheena Bashir, Michelle C Cleghorn, Fayez A Quereshy
BACKGROUND: Robotic surgery has emerged as a minimally invasive alternative to traditional laparoscopy. Robotic surgery addresses many of the technical and ergonomic limitations of laparoscopic surgery, but the literature regarding clinical outcomes in colorectal surgery is limited. We sought to compare robotic and laparoscopic colorectal resections with respect to 30-day perioperative outcomes. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was used to identify all patients who underwent robotic or laparoscopic colorectal surgery in 2013...
August 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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