Key result
Robotic mitral surgery using the da Vinci telemanipulation system enables complex mitral valve operations through small port sites instead of traditional median sternotomy.
Robotic cardiac surgery, particularly for mitral valve operations using the da Vinci system, offers a minimally invasive alternative to traditional median sternotomy.
May offer sternotomy-sparing mitral repair in select centers; leaves open need for randomized outcome comparisons.
Traditionally, cardiac surgery has been performed by median sternotomy. However, a renaissance is occurring. Cardiac operations are being performed through smaller and alternative incisions with enhanced technological assistance. Both coronary artery bypass grafting and valve surgery can be accomplished with this novel methodology. Specifically, minimally invasive mitral valve surgery has become standard for many surgeons. At our institution, we have developed a robotic mitral surgery program with the da VinciTM telemanipulation system. This system allows the surgeon to perform complex mitral valve operations through small port sites rather than a traditional median sternotomy. Our techniques and initial results are reported, as is a brief overview of the evolution of robotic cardiac surgery.
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Kypson et al. (2003) studied Mitral valve disease requiring surgery. Robotic mitral surgery (da Vinci telemanipulation system) vs. Median sternotomy was evaluated. Robotic mitral surgery using the da Vinci telemanipulation system enables complex mitral valve operations through small port sites instead of traditional median sternotomy.
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