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Titolo:
A comparison of robot-assisted versus manually constructed endoscopic coronary anastomosis
Autore:
Boyd, WD; Desai, ND; Kiaii, B; Rayman, R; Menkis, AH; McKenzie, FN; Novick, RJ;
Indirizzi:
Univ Western Ontario, London Hlth Sci Ctr, Div Cardiothorac Surg, London, ON N6A 5A5, Canada Univ Western Ontario London ON Canada N6A 5A5 London, ON N6A 5A5, Canada
Titolo Testata:
ANNALS OF THORACIC SURGERY
fascicolo: 3, volume: 70, anno: 2000,
pagine: 839 - 842
SICI:
0003-4975(200009)70:3<839:ACORVM>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTERY BYPASS-SURGERY; INSTRUMENTS; DEXTERITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Boyd, WD Univ Western Ontario, London Hlth Sci Ctr, Div Cardiothorac Surg,Univ Campus,339 Windermere Rd, London, ON N6A 5A5, Canada Univ Western Ontario Univ Campus,339 Windermere Rd London ON Canada N6A 5A5
Citazione:
W.D. Boyd et al., "A comparison of robot-assisted versus manually constructed endoscopic coronary anastomosis", ANN THORAC, 70(3), 2000, pp. 839-842

Abstract

Background. New technology has enabled surgeons to attempt totally endoscopic coronary artery bypass grafting. Our purpose was to compare three different techniques of totally endoscopic anastomosis using a porcine animal model. Methods. Porcine hearts were excised and the right coronary artery was dissected free for use as an arterial graft. The hearts were placed in a humanthoracic model and an endoscopic arterial anastomosis between the free right coronary artery and the left anterior descending coronary artery was performed using one of the following: (1) two-dimensional visualization with straight endoscopic instruments (n = 8); (2) three-dimensional head-mounted visualization with curved endoscopic instruments (n = 7); or (3) three-dimensional visualization with robotic telemanipulation (n = 8). Pathologic analysis of suture placement, vessel trauma, and patency was performed. Anastomoses were graded according to quality, ease, and patency using a seven-point Likert scale (1 = excellent, 7 = very poor). Results. Endoscopic anastomotic ease and quality were significantly improved when three-dimensional visualization and curved endoscopic instruments were employed. Telemanipulation enhanced the process and provided the best operative results with regard to time required to construct the anastomosis,as well as ease and quality. Conclusions. Totally endoscopic anastomosis is feasible using currently available technology. Three-dimensional visualization and robotic telemanipulation significantly facilitate anastomosis construction and will likely benefit clinical operative outcome. (Ann Thorac Surg 2000;70:839-43) (C) 2000 by The Society of Thoracic Surgeons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 09:32:43