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J Thorac Cardiovasc Surg 2005;130:596-597
© 2005 The American Association for Thoracic Surgery

Brief Communication

Robot-assisted endoscopic excision of left atrial myxomas

Department of Cardiothoracic Surgery, Saint Joseph’s Hospital of Atlanta, Atlanta, Ga

Received for publication October 18, 2004; revisions received November 30, 2004; accepted for publication December 7, 2004.

^_* Address for reprints: Douglas A. Murphy, MD, Department of Cardiothoracic Surgery, Saint Joseph’s Hospital of Atlanta, 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 (Email: Dmurphy407@aol.com).

The first 20% of the full text of this article appears below.

Recent advances in robotic instrumentation have facilitated endoscopic intracardiac procedures. ^1,2 We report our initial experience with endoscopic left atrial myxoma excision with the da Vinci Surgical System (Intuitive Surgical, Inc, Sunnyvale, Calif).

Clinical Summary

The clinical characteristics of 3 patients with left atrial masses operated on between September 2003 and May 2004 are presented in Table 1. No patient had preoperative embolic phenomena.

Under general anesthesia with left lung ventilation, the da Vinci endoscope was inserted through a 12-mm port in the fourth intercostal space 2 cm lateral to the midclavicular line. A 20-mm service port was created lateral to the endoscope in the same interspace. The 2 robotic instrument arms were inserted 1 interspace above and below the endoscope (Figure 1). No rib-spreading retractors were used.

View larger version (121K): [in this window] [in a new window]   Figure 1. Patient 3, 5 weeks after endoscopic excision of left atrial myxoma, demonstrating port placement. E, Endoscope; S, service port; L, left . . . [Full Text of this Article]

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