Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
RAVECAB: improving outcome in off-pump minimal access surgery with roboticassistance and video enhancement
Autore:
Boyd, WD; Kiaii, B; Novick, RJ; Rayman, R; Ganapathy, S; Dobkowski, WB; Jablonsky, G; McKenzie, FN; Menkis, AH;
Indirizzi:
Univ Western Ontario, London Hlth Sci Ctr, London, ON N6A 5A5, Canada UnivWestern Ontario London ON Canada N6A 5A5 London, ON N6A 5A5, Canada
Titolo Testata:
CANADIAN JOURNAL OF SURGERY
fascicolo: 1, volume: 44, anno: 2001,
pagine: 45 - 50
SICI:
0008-428X(200102)44:1<45:RIOIOM>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-BYPASS; ARTERY; EXPERIENCE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Boyd, WD Univ Western Ontario, London Hlth Sci Ctr, 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., "RAVECAB: improving outcome in off-pump minimal access surgery with roboticassistance and video enhancement", CAN J SURG, 44(1), 2001, pp. 45-50

Abstract

Objective: To determine the efficacy of using the harmonic scalpel and robotic assistance to facilitate thoracoscopic harvest of the internal thoracic artery (ITA). Design: A case series. Setting: London Health Sciences Centre, University of Western Ontario, London, Ont. Patients and methods: Fifteen consecutive patients requiring harvest of the ITA for coronary artery bypass grafting. Intervention: Robot-assisted, video-enhanced coronary arterybypass (RAVECAB) through limited-access incisions,using the harmonic scalpel and a voice-activated robotic assistant. Main outcome measures: Ease andduration of the harvesting technique, complications of the procedure, graft flow and patency, and duration of postoperative hospitalization. Results:RAVECAB facilitated thoracoscopic dissection of the ITA with the harmonic scalpel in all cases. There were no conversions to a standard approach and no reoperations for bleeding. The mean (and standard deviation) ITA harvesttime was 64.1 (22.9) minutes (range from 40 to 118 minutes). Robotic voicecommand capture rate was greater than 95%. Mean (and SD) intraoperative graft flows were 33.1 (26.8) mL/min (range from 14 to 126 mL/min). There was 100% graft patency on postoperative angiography. There were no deaths, perioperative myocardial infarction or arrhythmias. Mean (and SD) postoperativehospitalization was 3.3 (0.8) days. Conclusions: RAVECAB is a demanding procedure that addresses many of the disadvantages of the "conventional" minimally invasive coronary artery bypass. It allows complete pedicle dissection with minimal ITA manipulation and assures sufficient conduit length and atension-free coronary artery anastomosis. All anastomoses were performed under direct vision through a 5- to 8-cm inferior mammary incision.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 20:44:32