Katz Marc R, Bonatti Johannes O
Bon Secours Heart & Vascular Institute, Richmond, Virginia 23226, USA.
Heart Surg Forum. 2007;10(4):E338-43. doi: 10.1532/HSF98.20070710.
In the late 1990s, totally endoscopic coronary artery bypass grafting was successfully introduced into the heart surgery armamentarium using robotic techniques. Surgeons have applied the da Vinci telemanipulation system in order to develop completely endoscopic placement of internal mammary artery bypass grafts, mainly to the left anterior descending artery system. Multivessel procedures are currently under development. These operations can be carried out on the arrested heart using remote access perfusion and cardioplegic arrest via ascending aortic balloon occlusion. Another option is performing procedures on the beating heart using an endostablilizer and local coronary artery occlusion. In this review, the technique and specific aspects of the arrested heart version of totally endoscopic coronary artery bypass grafting are outlined.
20世纪90年代末，完全内镜下冠状动脉旁路移植术利用机器人技术成功引入心脏外科手术器械库。外科医生应用达芬奇远程操作系统，以实现完全内镜下乳内动脉旁路移植的放置，主要用于左前降支动脉系统。目前多支血管手术正在研发中。这些手术可在心脏停跳时通过升主动脉球囊阻断进行远程灌注和心脏停搏。另一种选择是在跳动的心脏上使用心内稳定器和局部冠状动脉阻断进行手术。在本综述中，概述了完全内镜下冠状动脉旁路移植术心脏停跳版本的技术和具体方面。
