Kypson Alan P, Nifong L Wiley, Chitwood W Randolph
Department of Surgery, Division of Cardiothoracic Surgery, Brody School of Medicine, East Carolina University, Greenville, North Carolina 27858, USA.
J Long Term Eff Med Implants. 2003;13(6):451-64. doi: 10.1615/jlongtermeffmedimplants.v13.i6.30.
Traditionally, cardiac surgery has been performed by median sternotomy. However, a renaissance is occurring. Cardiac operations are being performed through smaller and alternative incisions with enhanced technological assistance. Both coronary artery bypass grafting and valve surgery can be accomplished with this novel methodology. Specifically, minimally invasive mitral valve surgery has become standard for many surgeons. At our institution, we have developed a robotic mitral surgery program with the da VinciTM telemanipulation system. This system allows the surgeon to perform complex mitral valve operations through small port sites rather than a traditional median sternotomy. Our techniques and initial results are reported, as is a brief overview of the evolution of robotic cardiac surgery.
传统上，心脏手术是通过正中胸骨切开术进行的。然而，现在正迎来一场复兴。在先进技术的辅助下，心脏手术正通过更小的替代性切口来开展。冠状动脉旁路移植术和瓣膜手术都可以用这种新方法完成。具体而言，微创二尖瓣手术已成为许多外科医生的标准术式。在我们机构，我们利用达芬奇TM远程操作系统开发了一个机器人二尖瓣手术项目。该系统使外科医生能够通过小切口部位而非传统的正中胸骨切开术来进行复杂的二尖瓣手术。我们报告了我们的技术和初步结果，以及机器人心脏手术的发展简要概述。
