Department of Anesthesiology, Weill Cornell Medicine, New York, NY.
Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY.
J Cardiothorac Vasc Anesth. 2020 Jan;34(1):267-277. doi: 10.1053/j.jvca.2019.02.039. Epub 2019 Feb 27.
The application and evolution of total endoscopic robotic cardiac surgery (TERCS) has become greater as institutions and surgeons become more comfortable with robotic technology. Over the years many improvements have been made to facilitate technically challenging cardiac procedures using robotics and increase overall survival and quality of life for these patients. However, a dedicated multidisciplinary approach led by a core group of clinicians is necessary for good patient experience and outcomes. In addition, good communication and performance improvement measures with attention to detailed perioperative management are essential to a successful robotic cardiac program.
随着机构和外科医生对机器人技术越来越熟悉,全内镜机器人心脏手术(TERCS)的应用和发展变得更加广泛。多年来,许多改进措施已经被采用,以便利用机器人技术来简化技术难度高的心脏手术,并提高这些患者的总体生存率和生活质量。然而,需要由一组核心临床医生领导的专门的多学科方法,才能为患者提供良好的体验和结果。此外,良好的沟通和绩效改进措施,以及对围手术期管理的关注,对于一个成功的机器人心脏项目是至关重要的。