Key result
Robotic telemanipulation systems enhance surgical dexterity and facilitate less invasive cardiovascular procedures in confined spaces.
Why the study?
New methods including robotic telemanipulation systems have been developed to allow less invasive cardiovascular surgery with improved dexterity and accessibility.
This review discusses the recent history and clinical results of using robotic telemanipulation systems in cardiovascular surgery to enable less invasive procedures.
Robotic systems may improve dexterity for less invasive cardiac procedures; Level 5 evidence leaves open need for RCTs before practice change.
Traditionally, cardiovascular 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, the recent history and clinical results of using robotics in cardiovascular surgery shall be reviewed.
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Kypson et al. (2005) conducted a review in Cardiovascular surgery. Robotics vs. Median sternotomy (traditional) was evaluated. Robotic telemanipulation systems in cardiovascular surgery allow for improved dexterity and enable surgeons to perform procedures in confined spaces and in a less invasive manner.
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