Boehm Dieter H, Detter Christian, Arnold Martin B, Deuse T, Reichenspurner Hermann
Department of Cardiovascular Surgery, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Semin Thorac Cardiovasc Surg. 2003 Apr;15(2):112-20.
Our goal of minimally invasive coronary bypass surgery is a completely endoscopic operation and anastomosis. Minimally invasive procedures reduce the invasiveness of the operation and therefore the morbidity and length of hospitalization of the patients. A possible solution to the technical problems that accompany manually performed endoscopic anastomoses is telemanipulation, which provides surgeons with the necessary equipment to accomplish totally endoscopic coronary anastomoses. Robotic telemetric systems together with 3-D visualization provide the necessary platform. This article summarizes the current worldwide experience with the ZEUS(TM) system in cardiac surgery and describes the steps from preclinical to endoscopic operation, focusing on the potential limitations of the procedure and the system.
我们微创冠状动脉搭桥手术的目标是实现完全内镜下操作和吻合。微创程序降低了手术的侵入性，从而减少了患者的发病率和住院时间。手动进行内镜吻合所伴随的技术问题的一个可能解决方案是远程操作，它为外科医生提供了完成完全内镜下冠状动脉吻合所需的设备。机器人遥测系统与三维可视化技术提供了必要的平台。本文总结了目前全球范围内ZEUS(TM)系统在心脏手术中的应用经验，并描述了从临床前到内镜手术的步骤，重点关注该手术和系统的潜在局限性。
