Ultra-minimally invasive cardiac surgery: robotic surgery and awake CABG

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• 作者：Norihiko Ishikawa (1)
  Go Watanabe (1)
  
• 关键词：Endoscopy ; Da Vinci surgical system ; Anesthesia ; Awake surgery ; Robotic surgery
• 刊名：Surgery Today
• 出版年：2015
• 出版时间：January 2015
• 年：2015
• 卷：45
• 期：1
• 页码：1-7
• 全文大小：725 KB
• 参考文献：1. Iribarne A, Easterwood R, Chan EY, Yang J, Soni L, Russo MJ, Smith CR, Argenziano M. The golden age of minimally invasive cardiothoracic surgery: current and future perspectives. Future Cardiol. 2011;7:333鈥?6. CrossRef
  2. Gulielmos V, Eller M, Thiele S, Dill HM, Jost T, Tugtekin SM, Schueler S. Influence of median sternotomy on the psychosomatic outcome in coronary artery single-vessel bypass grafting. Eur J Cardiothorac Surg. 1999;16(Suppl 2):34鈥?. CrossRef
  3. Nader ND, Khadra WZ, Reich NT, Bacon DR, Salerno TA, Panos AL. Blood product use in cardiac revascularization: comparison of on- and off-pump techniques. Ann Thorac Surg. 1999;68:1640鈥?. CrossRef
  4. Calafiore AM, Di Giammarco G, Teodori G, Gallina S, Maddestra N, Paloscia L, Scipioni G, Iovino T, Contini M, Vitolla G. Midterm results after minimally invasive coronary surgery. J Thorac Cardiovasc Surg. 1998;115:763鈥?1. CrossRef
  5. Williams LF Jr, Chapman WC, Bonau RA, McGee EC Jr, Boyd RW, Jacobs JK. Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center. Am J Surg. 1993;165:459鈥?5. CrossRef
  6. Srivastava SP, Patel KN, Skantharaja R, Barrera R, Nanayakkara D, Srivastava V. Off-pump complete revascularization through a left lateral thoracotomy (ThoraCAB): the first 200 cases. Ann Thorac Surg. 2003;76:46鈥?. CrossRef
  7. Srivastava S, Gadasalli S, Agusala M, Kolluru R, Barrera R, Quismundo S, Kreaden U, Jeevanandam V. Beating heart totally endoscopic coronary artery bypass. Ann Thorac Surg. 2010;89:1873鈥?0. CrossRef
  8. Bonaros N, Schachner T, Lehr E, Kofler M, Wiedemann D, Hong P, Wehman B, Zimrin D, Vesely MK, Friedrich G, Bonatti J. Five hundred cases of robotic totally endoscopic coronary artery bypass grafting: predictors of success and safety. Ann Thorac Surg. 2013;95:803鈥?2. CrossRef
  9. Balkhy HH, Wann LS, Krienbring D, Arnsdorf SE. Integrating coronary anastomotic connectors and robotics toward a totally endoscopic beating heart approach: review of 120 cases. Ann Thorac Surg. 2011;92:821鈥?. CrossRef
  10. Rodr铆guez E, Kypson AP, Moten SC, Nifong LW, Chitwood WR Jr. Robotic mitral surgery at East Carolina University: a 6聽year experience. Int J Med Robot. 2006;2:211鈥?. CrossRef
  11. Nifong LW, Chu VF, Bailey BM, Maziarz DM, Sorrell VL, Holbert D, Chitwood WR Jr. Robotic mitral valve repair: experience with the da Vinci system. Ann Thorac Surg. 2003;75:438鈥?2 discussion 43. CrossRef
  12. Nifong LW, Chitwood WR, Pappas PS, Smith CR, Argenziano M, Starnes VA, Shah PM. Robotic mitral valve surgery: a United States multicenter trial. J Thorac Cardiovasc Surg. 2005;129:1395鈥?04. CrossRef
  13. Cooley DA. Beating-heart surgery for coronary revascularization: is it the most important development since the introduction of the heart-lung machine? Ann Thorac Surg. 2000;70:1779鈥?1. CrossRef
  14. Contini M, Iac貌 A, Iovino T, Teodori G, Di Giammarco G, Mazzei V, Commodo M, Calafiore AM. Current results in off pump surgery. Eur J Cardiothorac Surg. 1999;16:69鈥?2. CrossRef
  15. Takayama T, Hiro T, Hirayama A. Is angioplasty able to become the gold standard of treatment beyond bypass surgery for patients with multivessel coronary artery disease? Therapeutic strategies for 3-vessel coronary artery disease: OPCAB vs PCI (PCI-Side). Circ J. 2010;74:2744鈥?. CrossRef
  16. Nishimi M, Tashiro T. Off-pump coronary artery bypass vs percutaneous coronary intervention. Therapeutic strategies for 3-vessel coronary artery disease: OPCAB vs PCI (PCI-Side). Circ J. 2010;74:2750鈥?. CrossRef
  17. Kobayashi J. Radial artery as a graft for coronary artery bypass grafting. Circ J. 2009;73:1178鈥?3. CrossRef
  18. Modi P, Rodriguez E, Chitwood WR Jr. Robot-assisted cardiac surgery. Interact CardioVasc Thorac Surg. 2009;9:500鈥?. CrossRef
  19. Mihaljevic T, Jarrett CM, Gillinov AM, Williams SJ, DeVilliers PA, Stewart WJ, Svensson LG, Sabik JF 3rd, Blackstone EH. Robotic repair of posterior mitral valve prolapse versus conventional approaches: potential realized. J Thorac Cardiovasc Surg. 2011;141:72鈥?0. CrossRef
  20. Watanabe G. Are you ready to take off as a robo-surgeon? Surg Today. 2010;40:491鈥?. CrossRef
  21. Watanabe G. Successful intracardiac robotic surgery: initial results from Japan. Innovations. 2010;5:48鈥?0.
  22. Sezai Y, Orime Y, Tsukamoto S. Coronary artery surgery results 2005 in Japan. Ann Thorac Cardiovasc Surg. 2007;13:220鈥?.
  23. Kobayashi J. Off-pump coronary artery bypass grafting in Japan. Nippon Geka Gakkai Zasshi. 2006;107:9鈥?4.
  24. Blomberg S, Emanuelsson S, Ricksten SE. Thoracic epidural anesthesia and central hemodynamics in patients with unstable angina pectoris. Anesth Analg. 1989;69:558鈥?2.
  25. Karagoz HY, Sonmez B, Bakkaloglu B, Kurtoglu M, Erdinc M, T眉rkeli A, Bayazit K. Coronary artery bypass grafting in the conscious patient without endotracheal general anesthesia. Ann Thorac Surg. 2000;70:91鈥?. CrossRef
  26. Kato Y, Matsumoto I, Tomita S, Watanabe G. A novel technique to prevent intra-operative pneumothorax in awake coronary artery bypass grafting: biomaterial neo-pleura. Eur J Cardiothorac Surg. 2009;35:37鈥?1. CrossRef
  27. Watanabe G, Yamaguchi S, Tomita S, Ohtake H. Awake subxyphoid minimally invasive direct coronary artery bypass grafting yielded minimum invasive cardiac surgery for high risk patients. Interact Cardiovasc Thorac Surg. 2008;7:910鈥?. CrossRef
  28. Watanabe G, Tomita S, Yamaguchi S, Yashiki N. Awake coronary artery bypass grafting under thoracic epidural anesthesia: great impact on off-pump coronary revascularization and fast-track recovery. Eur J Cardiothorac Surg. 2011;40:788鈥?3.
  29. Watanabe G, Ohtake H, Tomita S, Yamaguchi S, Yashiki N, Kato H. Multivessel awake off-pump coronary bypass grafting using median approach: technical considerations. Innovations. 2011;6:23鈥?.
  30. Karagoz HY, Kurtoglu M, Bakkaloglu B, Sonmez B, Cetintas T, Bayazit K. Coronary artery bypass grafting in the awake patient: three years鈥?experience in 137 patients. J Thorac Cardiovasc Surg. 2003;125:1401鈥?. CrossRef
  31. Chakravarthy M, Jawali V, Patil TA, Jayaprakash K, Kolar S, Joseph G, Das JK, Maheswari U, Sudhakar N. Conscious cardiac surgery with cardiopulmonary bypass using thoracic epidural anesthesia without endotracheal general anesthesia. J Cardiothorac Vasc Anesth. 2005;19:300鈥?. CrossRef
  32. Yashiki N, Watanabe G, Tomita S, Nishida S, Yasuda T, Arai S. Thoracic epidural anesthesia for coronary bypass surgery affects autonomic neural function and arrhythmias. Innovations. 2005;1:83鈥?.
  33. Toda A, Watanabe G, Matsumoto I, Tomita S, Yamaguchi S, Ohtake H. Monitoring brain oxygen saturation during awake off-pump coronary artery bypass. Asian Cardiovasc Thorac Ann. 2013;21:14鈥?1. CrossRef
  34. Selnes OA, Goldsborough MA, Borowicz LM, McKhann GM. Neurobehavioural sequelae of cardiopulmonary bypass. Lancet. 1999;8:1601鈥?. CrossRef
  35. Yachi T, Watanabe G, Tomita S. Activation of coagulation and fibrinolysis after off-pump coronary artery bypass grafting with or without endotracheal general anesthesia. Innovations. 2010;5:444鈥?.
  
• 作者单位：Norihiko Ishikawa (1)
  Go Watanabe (1)
  
  1. Department of General and Cardiothoracic Surgery, Kanazawa University, 13-1 Takara-machi, Kanazawa, 920-8641, Japan
  
• ISSN：1436-2813

文摘

The recognition of the significant advantages of minimizing surgical trauma has resulted in the development of minimally invasive surgical procedures. Endoscopic surgery confers the benefits of minimally invasive surgery upon patients, and surgical robots have enhanced the ability and precision of surgeons. Consequently, technological advances have facilitated totally endoscopic robotic cardiac surgery, which has allowed surgeons to operate endoscopically, rather than through a median sternotomy, during cardiac surgery. Thus, repairs for structural heart conditions, including mitral valve plasty, atrial septal defect closure, multivessel minimally invasive direct coronary artery bypass grafting and totally endoscopic coronary artery bypass graft surgery (CABG), can be totally endoscopic. On the other hand, general anesthesia remains a risk in patients who have severe carotid artery stenosis before surgery, as well as in those with a history of severe cerebral infarction or respiratory failure. In this study, the potential of a new awake CABG protocol using only epidural anesthesia was investigated for realizing day surgery and was found to be a promising modality for ultra-minimally invasive cardiac surgery. We herein review robot-assisted cardiac surgery and awake off-pump coronary artery bypass grafting as ultra-minimally invasive cardiac surgeries.