title: [Clinical experience in thoracoscopic left internal mammary artery harvesting with voice activated robotic assistance].
abstract: Between September 1998 to February 2000, 45 consecutive patients underwent robotic-assisted, video-enhanced coronary artery bypass grafting. All IMA's were harvested using the voice-activated robotic assistant (AESOP 3000, Computer Motion Inc, Santa Barbara, CA) and the Harmonic scalpel (Ethicon Endo-Surgery, Cincinnati, OH). Left IMA's were successfully harvested in all patients. Harvested IMA's were anastomosed to LAD's under direct vision through limited left anterior thoracotomy. The IMA harvest time was 57.8 +/- 23.2 min, intraoperative graft flow was 34.3 +/- 20.5 ml/min, postoperative hospital stay was 3.9 +/- 1.5 days. The early postoperative angiogram showed that all grafts were patent. There was no mortality, no significant morbidity. The robotic assisted, video enhanced CABG provides safe and complete LIMA dissection with minimal manipulation and assures sufficient LITA length for tension free anastomosis.
authors.affiliation: Department of Cardiac Surgery, London Health Sciences Centre, University of Western Ontario, London, Canada.
authors.forename: K
authors.initials: K
authors.lastname: Kodera
authors.forename: W D
authors.initials: WD
authors.lastname: Boyd
authors.forename: B
authors.initials: B
authors.lastname: Kiaii
authors.forename: R J
authors.initials: RJ
authors.lastname: Novik
authors.forename: R
authors.initials: R
authors.lastname: Rayman
authors.forename: S
authors.initials: S
authors.lastname: Ganapathy
authors.forename: W B
authors.initials: WB
authors.lastname: Dobkowski
authors.forename: N F
authors.initials: NF
authors.lastname: McKenzie
authors.forename: A H
authors.initials: AH
authors.lastname: Menkis
authors.forename: T
authors.initials: T
authors.lastname: Otsuka
authors.forename: R
authors.initials: R
authors.lastname: Yozu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D012371:Robotics / Q000295:instrumentation*; D013525:Surgical Instruments; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D020708:Thoracoscopes; D016896:Treatment Outcome