Sagbas Ertan, Akpinar Belhhan, Sanisoglu Ilhan, Caynak Baris, Guden Mustafa, Ozbek Ugur, Bayramoglu Zehra, Bayindir Osman
Departments of Cardiovascular Surgery and Anaesthesia, Florence Nightingale Hospital, Istanbul, Turkey.
Int J Med Robot. 2006 Jun;2(2):179-87. doi: 10.1002/rcs.64.
Robots are sensor-based tools capable of performing precise, accurate and versatile actions. Initially designed to spare humans from risky tasks, robots have progressed into revolutionary tools for surgeons. Tele-operated robots, such as the da Vinci (Intuitive Surgical, Mountain View, CA), have allowed cardiac procedures to start benefiting from robotics as an enhancement to traditional minimally invasive surgery.
The aim of this text was to discuss our experience with the da Vinci system during a 12 month period in which 61 cardiac patients were operated on. There were 59 coronary bypass patients (CABG) and two atrial septal defect (ASD) closures.
Two patients (3.3%) had to be converted to median sternotomy because of pleural adhesions. There were no procedure- or device-related complications.
Our experience suggests that robotics can be integrated into routine cardiac surgical practice. Systematic training, team dedication and proper patient selection are important factors that determine the success of a robotic surgery programme.
机器人是基于传感器的工具，能够执行精确、准确且多功能的动作。机器人最初设计用于将人类从危险任务中解放出来，如今已发展成为外科医生的革命性工具。远程操作机器人，如达芬奇机器人（直观外科手术公司，加利福尼亚州山景城），已使心脏手术开始受益于机器人技术，作为对传统微创手术的一种提升。
本文的目的是讨论我们在12个月期间使用达芬奇系统的经验，在此期间对61例心脏患者进行了手术。其中有59例冠状动脉搭桥术（CABG）患者和2例房间隔缺损（ASD）封堵患者。
2例患者（3.3%）因胸膜粘连不得不改为正中胸骨切开术。未出现与手术或设备相关的并发症。
我们的经验表明，机器人技术可融入常规心脏外科手术实践。系统培训、团队奉献精神和恰当的患者选择是决定机器人手术项目成功的重要因素。
