By Jr W. Randolph Chitwood, Rebekah Dodson
Robotic surgical procedure is at present without enough didactic fabric essential to facilitate day-by-day program in cardiothoracic surgical perform. This publication represents the definitive atlas that might lead either the working towards and new cardiothoracic surgeons in those equipment. it is going to outline the operative pathway of every method, from commencing to finish, for surgeons who desire to be an entire robot cardiac health care professional and comprise tricks and procedural pitfalls derived from the reports of bankruptcy participants. The e-book should be illustrated with prime quality illustrations and colour photos from surgical operations the place applicable. prime surgeons have contributed to the publication and supplied pattern illustrations for his or her respective chapters. Anesthetic and cardiopulmonary help training for every operation may be integrated and chosen references can be supplied to stress evidence-based outcomes.
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Additional info for Atlas of Robotic Cardiac Surgery
Proficient robotic cardiac surgery requires that the surgeon have necessary premonitory skills to perform traditional operations with excellent results. The robotic system is simply a device that provides the least invasive cardiac access and good results are predicated upon a surgical abilities acquired previously. We recommended that early in program development that the console surgeon masters the role of the patient-side surgeon/assistant. This enables the console surgeon to trouble shoot instrument port placement and instrument exchanges, which enhances patient-side surgeon/assistant speed as well as helps resolve end-effector conflicts.
For robotic or minimally invasive mitral valve surgery, patients should be positioned in a slight left lateral position with right side and shoulder shifted off the table about 6 in. (Fig. 1) (See Chaps. 23 and 24). The arms are positioned along the right side with care taken to protect the arm from brachial plexus excessive stretch. After the incision is made, maintenance of anesthesia proceeds as with any cardiac surgery patient. Following robotic surgical cart docking, it is imperative to keep both the patient and table from moving in order to avoid organ injury from the rigid trans-thoracic trocars and instruments.
Reichenspurner H, Damiano RJ, Mack M, Boehm DH, Gulbins H, Detter C, et al. Use of the voice-controlled and computer-assisted surgical system Zeus for endoscopic coronary artery bypass grafting. J Thorac Cardiovasc Surg. 1999;118:11–6. 31. Damiano RJ, Ehrman WJ, Ducko CT, Tabaie HA, Stephenson ER, Kingsley CP. Chambers CE: initial United States clinical trial of robotically assisted coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2000;119:77–82. 32. Kappert U, Cichon R, Schneider J, Guliemos V, Tugtekin SM, Matschke K, et al.