|
|
||||||||
J Thorac Cardiovasc Surg 1999;117:1212-1213
© 1999 Mosby, Inc.
BRIEF COMMUNICATIONS |
From the Department of Cardiac Surgery, Heartcenter, University of Leipzig, Germany.
Received for publication Sept 30, 1998. Accepted for publication Oct 30, 1998. Address for reprints: Friedrich W. Mohr, MD, PhD, Klinik für Herzchirurgie, Universität Leipzig, Herzzentrum, Russenstraße 19, 04289 Leipzig, Germany.
The development of closed chest cardiopulmonary bypass systems has potentially opened the door for totally endoscopic coronary artery bypass graft surgery. Because of the limited range of motion of conventional endoscopic instruments with only 4 degrees of freedom, complex surgical tasks like suturing an anastomosis are difficult and time consuming. Thoracoscopic techniques are currently limited to harvesting of the internal thoracic artery (ITA).
1,2 Computer-enhanced surgery has been developed to overcome the limitations of conventional endoscopic instruments.
3,4
Patients and methods
As opposed to off-line pre-programmed robotic systems, the endoscopic instrument control system (Intuitive Surgical, Mountain View, Calif) is a supervised on-line robotic system with 3 robotic arms of serial articulating joint architecture. The surgeon operates from a control console that provides a 3-dimensional thoracoscopic image and is in steady control of the system via a human-machine interface. Surgical tasks like suturing or cutting are performed by the surgeon acting on master manipulators at the console that remotely control the motions of surgical instruments (effectors) via a computer interface (Fig. 1).The surgical manipulators (2 designed to hold surgical tools and 1 designed to hold a 3-dimensional videoscope) that are mounted to a central column have 3 degrees of freedom (pitch, yaw, and insertion) and provide motion coupling for the end-effectors. These instruments add another 3 degrees of freedom by means of
This article has been cited by other articles:
![]() |
P. Modi, E. Rodriguez, and W. R. Chitwood Jr. Robot-assisted cardiac surgery Interactive CardioVascular and Thoracic Surgery, September 1, 2009; 9(3): 500 - 505. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Waseda, N. Ishikawa, M. Oda, I. Matsumoto, Y. Ohta, N. Inaki, Y. Hirano, and G. Watanabe Robot-assisted endoscopic airway reconstruction in rabbits, with the aim to perform robot-assisted thoracoscopic bronchoplasty in human subjects. J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 989 - 995. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Suematsu, B. N. Mora, T. Mihaljevic, and P. J. del Nido Totally Endoscopic Robotic-Assisted Repair of Patent Ductus Arteriosus and Vascular Ring in Children Ann. Thorac. Surg., December 1, 2005; 80(6): 2309 - 2313. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. J. Damiano Jr Invited commentary Ann. Thorac. Surg., December 1, 2003; 76(6): 2035 - 2036. [Full Text] [PDF] |
||||
![]() |
G. Wimmer-Greinecker, S. Dogan, T. Aybek, M. F. Khan, S. Mierdl, C. Byhahn, and A. Moritz Totally endoscopic atrial septal repair in adults with computer-enhanced telemanipulation J. Thorac. Cardiovasc. Surg., August 1, 2003; 126(2): 465 - 468. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. J. Damiano Jr Endoscopic coronary artery bypass grafting--the first steps on a long journey J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(90030): S64 - 65. [Full Text] [PDF] |
||||
![]() |
E. Le Bret, S. Papadatos, T. Folliguet, D. Carbognani, J. Petrie, Y. Aggoun, A. Batisse, J. Bachet, and F. Laborde Interruption of patent ductus arteriosus in children: Robotically assisted versus videothoracoscopic surgery J. Thorac. Cardiovasc. Surg., May 1, 2002; 123(5): 973 - 976. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Mierdl, C. Byhahn, S. Dogan, T. Aybek, G. Wimmer-Greinecker, P. Kessler, D. Meininger, and K. Westphal Segmental Wall Motion Abnormalities During Telerobotic Totally Endoscopic Coronary Artery Bypass Grafting Anesth. Analg., April 1, 2002; 94(4): 774 - 780. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. H. Diodato, J. E. Scarborough, P. W. Domkowski, M. L. Smith, S. S. Biswas, T. Schwartz, and K. P. Landolfo Robotically assisted versus conventional freehand technique during beating heart anastomoses of left internal thoracic artery to left anterior descending artery Ann. Thorac. Surg., March 1, 2002; 73(3): 825 - 829. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. J. Damiano Jr, H. A. Tabaie, M. J. Mack, J. R. Edgerton, C. Mullangi, W. P. Graper, and S. M. Prasad Initial prospective multicenter clinical trial of robotically-assisted coronary artery bypass grafting Ann. Thorac. Surg., October 1, 2001; 72(4): 1263 - 1269. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Torracca, G. Ismeno, and O. Alfieri Totally endoscopic computer-enhanced atrial septal defect closure in six patients Ann. Thorac. Surg., October 1, 2001; 72(4): 1354 - 1357. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. W. Mohr, V. Falk, A. Diegeler, T. Walther, J. F. Gummert, J. Bucerius, S. Jacobs, and R. Autschbach Computer-enhanced ""robotic"" cardiac surgery: Experience in 148 patients J. Thorac. Cardiovasc. Surg., May 1, 2001; 121(5): 842 - 853. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Byhahn, S. Mierdl, D. Meininger, G. Wimmer-Greinecker, G. Matheis, and K. Westphal Hemodynamics and gas exchange during carbon dioxide insufflation for totally endoscopic coronary artery bypass grafting Ann. Thorac. Surg., May 1, 2001; 71(5): 1496 - 1501. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Falk, J. I. Fann, J. Grunenfelder, D. Daunt, and T. A. Burdon Endoscopic computer-enhanced beating heart coronary artery bypass grafting Ann. Thorac. Surg., December 1, 2000; 70(6): 2029 - 2033. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. J. Damiano Jr Editorial: Endoscopic coronary artery bypass grafting--The first steps on a long journey J. Thorac. Cardiovasc. Surg., October 1, 2000; 120(4): 806 - 807. [Full Text] [PDF] |
||||
![]() |
W. D. Boyd, R. Rayman, N. D. Desai, A. H. Menkis, W. Dobkowski, S. Ganapathy, B. Kiaii, G. Jablonsky, F. N. McKenzie, and R. J. Novick Closed-chest coronary artery bypass grafting on the beating heart with the use of a computer-enhanced surgical robotic system J. Thorac. Cardiovasc. Surg., October 1, 2000; 120(4): 807 - 809. [Full Text] [PDF] |
||||
![]() |
W. D. Boyd, N. D. Desai, B. Kiaii, R. Rayman, A. H. Menkis, F. N. McKenzie, and R. J. Novick A comparison of robot-assisted versus manually constructed endoscopic coronary anastomosis Ann. Thorac. Surg., September 1, 2000; 70(3): 839 - 843. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Falk, A. Diegeler, T. Walther, J. Banusch, J. Brucerius, J. Raumans, R. Autschbach, and F. W. Mohr Total endoscopic computer enhanced coronary artery bypass grafting Eur. J. Cardiothorac. Surg., January 1, 2000; 17(1): 38 - 45. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. J. Damiano Jr, W. J. Ehrman, C. T. Ducko, H. A. Tabaie, E. R. Stephenson Jr, C. P. Kingsley, and C. E. Chambers INITIAL UNITED STATES CLINICAL TRIAL OF ROBOTICALLY ASSISTED ENDOSCOPIC CORONARY ARTERY BYPASS GRAFTING J. Thorac. Cardiovasc. Surg., January 1, 2000; 119(1): 77 - 82. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Reichenspurner, D. H. Boehm, H. Gulbins, C. Detter, R. Damiano, M. Mack, and B. Reichart ROBOTICALLY ASSISTED ENDOSCOPIC CORONARY ARTERY BYPASS PROCEDURES WITHOUT CARDIOPULMONARY BYPASS J. Thorac. Cardiovasc. Surg., November 1, 1999; 118(5): 960 - 961. [Full Text] [PDF] |
||||
![]() |
H. Reichenspurner, R. J. Damiano, M. Mack, D. H. Boehm, H. Gulbins, C. Detter, B. Meiser, R. Ellgass, and B. Reichart USE OF THE VOICE-CONTROLLED AND COMPUTER-ASSISTED SURGICAL SYSTEM ZEUS FOR ENDOSCOPIC CORONARY ARTERY BYPASS GRAFTING J. Thorac. Cardiovasc. Surg., July 1, 1999; 118(1): 11 - 16. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. J. Damiano Commentary J. Thorac. Cardiovasc. Surg., June 1, 1999; 117(6): 1214 - 1215. [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |