robotically-assisted coronary artery bypass graftingrobotically-assisted冠状动脉旁路移植.pdf

SAGE-Hindawi Access to Research Cardiology Research and Practice Volume 2010, Article ID 175450, 6 pages doi:10.4061/2010/175450 Research Article Robotically-Assisted Coronary Artery Bypass Grafting Thierry A. Folliguet, Alain Dibie, Franc¸ois Philippe, Fabrice Larrazet, Michel S. Slama, and Franc¸ois Laborde Department of Cardio-Vascular Surgery, L’Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014 Paris, France Correspondence should be addressed to Thierry A. Folliguet, thierry.folliguet@imm.fr Received 30 September 2009; Revised 18 December 2009; Accepted 2 February 2010 Academic Editor: Thierry Pierre Carrel Copyright © 2010 Thierry A. Folliguet et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objectives. Robotic surgery enables to perform coronary surgery totally endoscopically. This report describes our experience using the da Vinci system for coronary artery bypass surgery. Methods. Patients requiring single-or-double vessel revascularization were eligible. The procedure was performed without cardiopulmonary bypass on a beating heart. Results. From April 2004 to May 2008, fifty-six patients were enrolled in the study. Twenty-four patients underwent robotic harvesting of the mammary conduit followed by minimal invasive direct coronary artery bypass (MIDCAB), and twenty-three patients had a totally endoscopic coronary artery bypass (TECAB) grafting. Nine patients (16%) were converted to open techniques. The mean total operating time for TECAB was 372 ± 104 minutes and for MIDCAB was 220 ± 69 minutes. Followup was complete for all patients up to one year. There was one hospit