1. Adhesiolysis is facilitated by robotic technology in reoperative cardiac surgery.
- Author
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Martens TP, Morgan JA, Hefti MM, Brunacci DA, Cheema FH, Kesava SK, Xydas S, Dang NC, Vigilance DW, Kohmoto T, Gorenstein LA, Smith CR Jr, and Argenziano M
- Subjects
- Adult, Aged, Aged, 80 and over, Cardiac Surgical Procedures instrumentation, Female, Humans, Male, Middle Aged, Reoperation instrumentation, Reoperation methods, Robotics instrumentation, Robotics methods, Sternum pathology, Treatment Outcome, Cardiac Surgical Procedures adverse effects, Cardiac Surgical Procedures methods, Sternum surgery, Tissue Adhesions etiology, Tissue Adhesions surgery
- Abstract
Over a 2-year period, 5 patients who required reoperative chest surgery underwent robotic adhesiolysis with the da Vinci (Intuitive, Sunnyvale, CA) system. Resternotomy was performed under direct visualization for coronary revascularization (n = 2) or valve replacement (n = 1). A fourth patient required coronary revascularization after a previous axilloaxillary bypass. The final case involved the preparation of a substernal pathway for a gastric pull-up. In all cases adhesions were taken down without injury to the underlying structures. All grafts were preserved, and all patients recovered uneventfully. Robotic adhesiolysis is a versatile technique that allows careful lysis of adhesions and minimizes the risk of major complication during reoperative chest surgery.
- Published
- 2005
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