机器人辅助全内镜冠状动脉搭桥手术。
Robotically assisted totally endoscopic coronary artery bypass surgery.
作者信息
Canale Leonardo Secchin, Mick Stephanie, Mihaljevic Tomislav, Nair Ravi, Bonatti Johannes
机构信息
Cleveland Clinic, Cleveland, Ohio, USA;
出版信息
J Thorac Dis. 2013 Nov;5 Suppl 6(Suppl 6):S641-9. doi: 10.3978/j.issn.2072-1439.2013.10.19.
Abstract
Robotically assisted totally endoscopic coronary artery bypass surgery has emerged as a feasible and efficient alternative to conventional full sternotomy coronary artery bypass graft surgery in selected patients. This minimally invasive approach using the daVinci robotic system allows fine intrathoracic maneuvers and excellent view of the coronary arteries. Both on-pump and off-pump operations can be performed to treat single and multivessel disease. Hybrid approaches have the potential of offering complete revascularization with the "best of both worlds" from surgery (internal mammary artery anastomosis in less invasive fashion) and percutaneous coronary intervention (least invasive approach). In this article we review the indications, techniques, short and long term results, as well as current developments in totally endoscopic robotic coronary artery bypass operations.
摘要
机器人辅助全内镜冠状动脉搭桥手术已成为一种可行且高效的替代方案，适用于特定患者，可替代传统的正中开胸冠状动脉搭桥移植手术。这种使用达芬奇机器人系统的微创方法允许进行精细的胸腔内操作，并能清晰观察冠状动脉。无论是体外循环还是非体外循环手术，都可用于治疗单支和多支血管病变。杂交手术方法有可能通过结合手术（以微创方式进行乳内动脉吻合）和经皮冠状动脉介入治疗（最微创的方法）的“两全其美”优势，实现完全血运重建。在本文中，我们回顾了全内镜机器人冠状动脉搭桥手术的适应症、技术、短期和长期结果以及当前的发展情况。
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