Ender J, Autschbach R, Falk V, Rauch T, Petry A, Mohr F W
Klinik für Herzchirurgie, Abteilung Anästhesie-Universität Leipzig Herzzentrum, Leipzig.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2001 Feb;36(2):118-22. doi: 10.1055/s-2001-11058.
Because of the restricted freedom of movement inherent in endoscopic standard instruments wholly endoscopic heart surgery has not been possible up to now. The development of such techniques was especially hindered by the rib cage. Now the precision which is imperative for bypass surgery or valve reconstruction is made possible by telemanipulator systems. Preconditions for this method are cardiopulmonary bypass-techniques which allow a cardioplegic cardiac arrest with closed chest and extensive hemodynamic monitoring which enables the anesthesiologist to make exact diagnoses without having a direct view on the heart. After an extensive experimental phase a telemanipulation system is successfully in use since May 1998 in the Cardiac Center in Leipzig.
由于内镜标准器械固有的活动自由度受限，迄今为止完全内镜心脏手术尚无法实现。此类技术的发展尤其受到胸腔的阻碍。如今，远程操纵系统使旁路手术或瓣膜重建所需的精确操作成为可能。该方法的前提条件是体外循环技术，它能在闭式胸腔的情况下实现心脏停搏，以及广泛的血流动力学监测，这使麻醉师无需直接观察心脏就能做出准确诊断。经过广泛的实验阶段后，一种远程操纵系统自1998年5月起在莱比锡心脏中心成功投入使用。
