Three-dimensional video and robot-assisted port-access mitral valve operation
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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, Vol. 69, No. 4, 04.2000, p. 1176-1181.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -