Adhesiolysis is facilitated by robotic technology in reoperative cardiac surgery.
Over a 2-year period, 5 patients who required reoperative chest surgery underwent robotic adhesiolysis with the da Vinci (Intuitive, Sunnyvale, CA) system. Resternotomy was performed under direct visualization for coronary revascularization (n = 2) or valve replacement (n = 1). A fourth patient required coronary revascularization after a previous axilloaxillary bypass. The final case involved the preparation of a substernal pathway for a gastric pull-up. In all cases adhesions were taken down without injury to the underlying structures. All grafts were preserved, and all patients recovered uneventfully. Robotic adhesiolysis is a versatile technique that allows careful lysis of adhesions and minimizes the risk of major complication during reoperative chest surgery.
Martens
Timothy P
TP
Department of Surgery, Columbia University, College of Physicians and Surgeons, New York, New York, USA. tpm2102@columbia.edu
Morgan
Jeffrey A
JA
Hefti
Marco M
MM
Brunacci
David A
DA
Cheema
Faisal H
FH
Kesava
Satish K
SK
Xydas
Steve
S
Dang
Nick C
NC
Vigilance
Deon W
DW
Kohmoto
Takushi
T
Gorenstein
Lyall A
LA
Smith
Craig R
CR
Argenziano
Michael
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D012371:Robotics / Q000295:instrumentation / Q000379:methods; D013249:Sternum / Q000473:pathology / Q000601:surgery*; D000267:Tissue Adhesions / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome