Mandal Kaushik, Alwair Hazaim, Nifong Wiley L, Chitwood W Randolph
Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore MD 21287, USA; ; Department of Cardiovascular Surgery, East Carolina Heart Institute at East Carolina University, Greenville NC 27834, USA.
J Thorac Dis. 2013 Nov;5 Suppl 6(Suppl 6):S694-703. doi: 10.3978/j.issn.2072-1439.2013.11.01.
Increased recognition of advantages, over the last decade, of minimizing surgical trauma by operating through smaller incisions and its direct impact on reduced postoperative pain, quicker recovery, improved cosmesis and earlier return to work has spurred the minimally invasive cardiac surgical revolution. This transition began in the early 1990s with advancements in endoscopic instruments, video & fiberoptic technology and improvements in perfusion systems for establishing cardiopulmonary bypass (CPB) via peripheral cannulation. Society of Thoracic Surgeons data documents that 20% of all mitral valve surgeries are performed using minimally invasive techniques, with half being robotically assisted. This article reviews the current status of robotically assisted mitral valve surgery, its advantages and technical modifications for optimizing clinical outcomes.
在过去十年中，人们越来越认识到通过较小切口进行手术以尽量减少手术创伤的优势，以及其对减轻术后疼痛、加快恢复、改善美容效果和更早重返工作岗位的直接影响，这推动了微创心脏外科革命。这一转变始于20世纪90年代初，当时内镜器械、视频和光纤技术取得了进步，并且通过外周插管建立体外循环（CPB）的灌注系统也得到了改进。胸外科医师协会的数据表明，所有二尖瓣手术中有20%是采用微创技术进行的，其中一半是机器人辅助手术。本文综述了机器人辅助二尖瓣手术的现状、其优势以及优化临床结果的技术改进。
