Key result
Robotic telemanipulation systems safely reduce cross-clamp times and hospital stays versus conventional cardiac surgery.
Why the study?
New methods including robotic telemanipulation systems have been developed to enable less invasive cardiac surgery with improved dexterity and accessibility in confined spaces.
This review summarizes the recent history and clinical results of robotic applications in cardiac surgery, highlighting the shift towards less invasive techniques with improved dexterity.
Supports robotic cardiac procedures; leaves open need for randomized trials before practice change.
Traditionally, cardiac surgery has been performed through a median sternotomy, which allows the surgeon generous access to the heart and surrounding great vessels. As a paradigm shift in the size and location of incisions occurs in cardiac surgery, new methods have been developed to allow the surgeon the same amount of dexterity and accessibility to the heart in confined spaces and in a less invasive manner. Initially, long instruments without pivot points were used, however, more recent robotic telemanipulation systems have been applied that allow for improved dexterity, enabling the surgeon to perform cardiac surgery from a distance not previously possible. In this rapidly evolving field, we review the recent history and clinical results of using robotics in cardiac surgery.
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Kypson et al. (2004) conducted a review in Cardiac surgery. Robotic telemanipulation systems (AESOP, Zeus, da Vinci) vs. Conventional median sternotomy was evaluated.
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