Woo Y Joseph
Division of Cardiothoracic Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
Int J Med Robot. 2006 Sep;2(3):225-32. doi: 10.1002/rcs.98.
Cardiac surgery, traditionally conducted via median sternotomy, has been recently forwarded by progressively advanced technology facilitating sternal-sparing minimally invasive, access to the heart. Robotic systems, comprised of miniaturized surgical instruments mounted on long thin shafts with multiple degrees of range of motion coupled with a dual camera endoscope providing true three-dimentional high-magnification visualization have greatly propelled this field.
The robotic system and the literature base pertaining to robotic cardiac surgery is reviewed in depth.
Robotic cardiac surgical procedures have been performed to repair and replace the mitral valve, bypass coronary arteries, close atrial septal defects, implant left ventricular pacing leads, and resect intracardiac tumors.
As minimally invasive and robotic surgical technology advances, so proceeds the spectrum of potential applications for robotic cardiac surgery.
传统上通过正中胸骨切开术进行心脏手术,近来随着技术的不断进步,有利于采用保留胸骨的微创方法进入心脏。机器人系统由安装在细长轴上的小型手术器械组成,具有多个运动自由度,并配有双摄像头内窥镜,可提供真正的三维高倍可视化,极大地推动了这一领域的发展。
深入回顾了机器人系统及与机器人心脏手术相关的文献基础。
已开展机器人心脏手术来修复和置换二尖瓣、绕过冠状动脉、闭合房间隔缺损、植入左心室起搏导线以及切除心内肿瘤。
随着微创和机器人手术技术的进步,机器人心脏手术的潜在应用范围也在不断扩大。