Section of Cardiac and Thoracic Surgery, The University of Chicago School of Medicine, Chicago, Illinois.
Section of Cardiac and Thoracic Surgery, The University of Chicago School of Medicine, Chicago, Illinois.
Ann Thorac Surg. 2020 Jan;109(1):e9-e11. doi: 10.1016/j.athoracsur.2019.04.093. Epub 2019 Jun 19.
This is the first human case of totally endoscopic robotic-assisted aortic valve replacement using a sutureless valve. The patient is a 76-year-old man with symptomatic severe aortic valve insufficiency. A 12-mm robotic camera port and 25-mm working port were placed in the second intercostal space, and two 8-mm arm ports in the first and the third intercostal space with femoro-femoral cardiopulmonary bypass. Aortotomy, leaflet resection, confirmation of intraannular valve position, and aortic closure were all performed endoscopically with robotic instruments. The tableside assistant deployed the valve. The patient was discharged on postoperative day 2 without complications.
这是首例完全经内镜机器人辅助主动脉瓣置换术使用无缝线瓣膜的病例。患者为 76 岁男性，有症状的严重主动脉瓣关闭不全。在第二肋间隙放置 12mm 机器人摄像端口和 25mm 工作端口，在第一和第三肋间隙放置两个 8mm 机械臂端口，并建立股-股体外循环。经内镜使用机器人器械进行主动脉切开、瓣叶切除、确认瓣环内瓣膜位置和主动脉闭合。术者助手在手术台上展开瓣膜。患者术后第 2 天无并发症出院。
