Ishikawa Norihiko, Watanabe Go
NewHeart Watanabe Institute, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2015;21(4):322-8. doi: 10.5761/atcs.ra.15-00145. Epub 2015 Jul 2.
Recognition of the significant advantages of minimizing surgical trauma has resulted in the development of minimally invasive surgical procedures. Endoscopic surgery offers patients the benefits of minimally invasive surgery, and surgical robots have enhanced the ability and precision of surgeons. Consequently, technological advances have facilitated totally endoscopic robotic cardiac surgery, which has allowed surgeons to operate endoscopically rather than through a median sternotomy during cardiac surgery. Thus, repairs for structural heart conditions, including mitral valve plasty, atrial septal defect closure, multivessel minimally invasive direct coronary artery bypass grafting (MIDCAB), and totally endoscopic coronary artery bypass graft surgery (CABG), can be totally endoscopic. Robot-assisted cardiac surgery as minimally invasive cardiac surgery is reviewed.
认识到将手术创伤降至最低的显著优势,促使了微创手术的发展。内镜手术为患者带来了微创手术的益处,而手术机器人则提高了外科医生的操作能力和精准度。因此,技术进步推动了完全内镜机器人心脏手术的发展,使外科医生在心脏手术中能够通过内镜操作,而非经正中胸骨切开术。这样一来,包括二尖瓣成形术、房间隔缺损封堵术、多支血管微创直接冠状动脉旁路移植术(MIDCAB)以及完全内镜冠状动脉旁路移植手术(CABG)在内的结构性心脏病修复手术都可以通过完全内镜进行。本文对作为微创心脏手术的机器人辅助心脏手术进行了综述。