Three-dimensional video and robot-assisted port-access mitral valve operation

Standard

Three-dimensional video and robot-assisted port-access mitral valve operation. / Reichenspurner, Hermann; Boehm, Dieter H.; Gulbins, Helmut; Schulze, Costas; Wildhirt, Stephen; Welz, Armin; Detter, Christian; Reichart, Bruno.

in: ANN THORAC SURG, Jahrgang 69, Nr. 4, 04.2000, S. 1176-1181.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

Reichenspurner, H, Boehm, DH, Gulbins, H, Schulze, C, Wildhirt, S, Welz, A, Detter, C & Reichart, B 2000, 'Three-dimensional video and robot-assisted port-access mitral valve operation', ANN THORAC SURG, Jg. 69, Nr. 4, S. 1176-1181. https://doi.org/10.1016/S0003-4975(99)01561-1

APA

Reichenspurner, H., Boehm, D. H., Gulbins, H., Schulze, C., Wildhirt, S., Welz, A., Detter, C., & Reichart, B. (2000). Three-dimensional video and robot-assisted port-access mitral valve operation. ANN THORAC SURG, 69(4), 1176-1181. https://doi.org/10.1016/S0003-4975(99)01561-1

Vancouver

Bibtex

@article{fd3f0b0540214c6baa932ae5562b62cb,
title = "Three-dimensional video and robot-assisted port-access mitral valve operation",
abstract = "Background. In order to minimize surgical trauma, video-assisted mitral valve operation has been started using the Port-Access technique with the addition of a three-dimensional visualization system (Vista Cardiothoracic Systems Inc, Westborough, MA) and a voice-controlled camera-holding robotic arm (Aesop; Computer Motion Inc, Goleta, CA). Methods. Port-Access mitral valve replacement or repair (PAMVR) was undertaken using an endovascular cardiopulmonary bypass (CPB) system. Fifty patients underwent Port-Access mitral valve replacement or repair. A three-dimensional thoracoscope was inserted allowing complete three-dimensional projection of the mitral valve (Vista). In the last 20 patients, the camera was attached to a robotic arm (Aesop), which allowed stabilization and voice-activated movement of the camera. Mitral valve repair was performed in 26 patients, and the valve was replaced in 24 patients with a mechanical valve prosthesis. Results. Median time of operation was 4.2 hours, aortic cross-clamp time 83 minutes, CPB time 125 minutes, intensive care unit stay 1.5 days and hospitalization 9.0 days. Three months follow-up was complete in 40 patients, with 34 patients (85%) in New York Heart Association class I and 6 patients in class II. Mortality was 0% and rate of reoperation was 2%, with a follow-up time up to 1.5 years postoperatively. Conclusions. Using three-dimensional video and robotic assistance, it was possible to minimize the length of skin incision, but at the same time to optimally visualize the whole mitral valve apparatus in order to perform true Port-Access mitral valve operation, including various repair techniques. (C) 2000 by The Society of Thoracic Surgeons.",
author = "Hermann Reichenspurner and Boehm, {Dieter H.} and Helmut Gulbins and Costas Schulze and Stephen Wildhirt and Armin Welz and Christian Detter and Bruno Reichart",
year = "2000",
month = apr,
doi = "10.1016/S0003-4975(99)01561-1",
language = "English",
volume = "69",
pages = "1176--1181",
journal = "ANN THORAC SURG",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "4",

}

RIS

TY - JOUR

T1 - Three-dimensional video and robot-assisted port-access mitral valve operation

AU - Reichenspurner, Hermann

AU - Boehm, Dieter H.

AU - Gulbins, Helmut

AU - Schulze, Costas

AU - Wildhirt, Stephen

AU - Welz, Armin

AU - Detter, Christian

AU - Reichart, Bruno

PY - 2000/4

Y1 - 2000/4

N2 - Background. In order to minimize surgical trauma, video-assisted mitral valve operation has been started using the Port-Access technique with the addition of a three-dimensional visualization system (Vista Cardiothoracic Systems Inc, Westborough, MA) and a voice-controlled camera-holding robotic arm (Aesop; Computer Motion Inc, Goleta, CA). Methods. Port-Access mitral valve replacement or repair (PAMVR) was undertaken using an endovascular cardiopulmonary bypass (CPB) system. Fifty patients underwent Port-Access mitral valve replacement or repair. A three-dimensional thoracoscope was inserted allowing complete three-dimensional projection of the mitral valve (Vista). In the last 20 patients, the camera was attached to a robotic arm (Aesop), which allowed stabilization and voice-activated movement of the camera. Mitral valve repair was performed in 26 patients, and the valve was replaced in 24 patients with a mechanical valve prosthesis. Results. Median time of operation was 4.2 hours, aortic cross-clamp time 83 minutes, CPB time 125 minutes, intensive care unit stay 1.5 days and hospitalization 9.0 days. Three months follow-up was complete in 40 patients, with 34 patients (85%) in New York Heart Association class I and 6 patients in class II. Mortality was 0% and rate of reoperation was 2%, with a follow-up time up to 1.5 years postoperatively. Conclusions. Using three-dimensional video and robotic assistance, it was possible to minimize the length of skin incision, but at the same time to optimally visualize the whole mitral valve apparatus in order to perform true Port-Access mitral valve operation, including various repair techniques. (C) 2000 by The Society of Thoracic Surgeons.

AB - Background. In order to minimize surgical trauma, video-assisted mitral valve operation has been started using the Port-Access technique with the addition of a three-dimensional visualization system (Vista Cardiothoracic Systems Inc, Westborough, MA) and a voice-controlled camera-holding robotic arm (Aesop; Computer Motion Inc, Goleta, CA). Methods. Port-Access mitral valve replacement or repair (PAMVR) was undertaken using an endovascular cardiopulmonary bypass (CPB) system. Fifty patients underwent Port-Access mitral valve replacement or repair. A three-dimensional thoracoscope was inserted allowing complete three-dimensional projection of the mitral valve (Vista). In the last 20 patients, the camera was attached to a robotic arm (Aesop), which allowed stabilization and voice-activated movement of the camera. Mitral valve repair was performed in 26 patients, and the valve was replaced in 24 patients with a mechanical valve prosthesis. Results. Median time of operation was 4.2 hours, aortic cross-clamp time 83 minutes, CPB time 125 minutes, intensive care unit stay 1.5 days and hospitalization 9.0 days. Three months follow-up was complete in 40 patients, with 34 patients (85%) in New York Heart Association class I and 6 patients in class II. Mortality was 0% and rate of reoperation was 2%, with a follow-up time up to 1.5 years postoperatively. Conclusions. Using three-dimensional video and robotic assistance, it was possible to minimize the length of skin incision, but at the same time to optimally visualize the whole mitral valve apparatus in order to perform true Port-Access mitral valve operation, including various repair techniques. (C) 2000 by The Society of Thoracic Surgeons.

UR - http://www.scopus.com/inward/record.url?scp=0034013031&partnerID=8YFLogxK

U2 - 10.1016/S0003-4975(99)01561-1

DO - 10.1016/S0003-4975(99)01561-1

M3 - SCORING: Journal article

C2 - 10800815

AN - SCOPUS:0034013031

VL - 69

SP - 1176

EP - 1181

JO - ANN THORAC SURG

JF - ANN THORAC SURG

SN - 0003-4975

IS - 4

ER -