title: [Robotic dissection of the right internal thoracic artery through median sternotomy].
abstract: The use of robotic systems in cardiac surgeries aims at decreasing the surgical trauma. The totally endoscopic myocardial revascularization, assisted by the DaVinci robot (Intuitive Surgical, Sunnyvale, California) is feasible and the learning process must be carried out in steps. The first step is the preparation of the left internal thoracic artery, through the totally endoscopic approach. The case presented here proposes the dissection of the right internal thoracic artery through complete sternotomy. It proposes a new step directed at the totally endoscopic procedure, aiming at decreasing the injuries caused by the learning curve.
authors.affiliation: Instituto de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil. fbjatene@cardiol.br
authors.forename: Fabio Biscegli
authors.initials: FB
authors.lastname: Jatene
authors.forename: Paulo Manuel
authors.initials: PM
authors.lastname: Pêgo-Fernandes
authors.forename: Ramez
authors.initials: R
authors.lastname: Anbar
authors.forename: Fábio Antonio
authors.initials: FA
authors.lastname: Gaiotto
authors.forename: Marcello S
authors.initials: MS
authors.lastname: Barduco
authors.forename: Roberto
authors.initials: R
authors.lastname: Kalil Filho
mesh_terms: D004210:Dissection / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000601:surgery*; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000379:methods; D012371:Robotics; D056346:Sternotomy / Q000379:methods*