title: Robotic and minimally invasive cardiac surgery.
abstract: The transition of mitral valve surgery away from the traditional sternotomy approach toward more minimally invasive strategies continues to evolve. The use of telemanipulative robotic arms with near 3-dimensional valve visualization has allowed for near complete endoscopic robotic-assisted mitral valve surgery, providing increased patient satisfaction and cosmesis. Studies have shown rapid recovery times without sacrificing perioperative safety or the durability of surgical repair. Although a steep learning curve exists as well as high fixed and disposable costs, continued technological development fueled by increasing patient demand may allow for further expansion in the use of robotic-assisted minimal invasive surgery.
authors.affiliation: Department of Anesthesiology and Critical Care, The Perelman School of Medicine at the University Hosptial of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA. william.vernick@uphs.upenn.edu
authors.forename: William
authors.initials: W
authors.lastname: Vernick
authors.forename: Pavan
authors.initials: P
authors.lastname: Atluri
mesh_terms: D058109:Airway Management; D000758:Anesthesia / Q000379:methods; D002315:Cardiopulmonary Bypass; D017548:Echocardiography, Transesophageal; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D008943:Mitral Valve / Q000601:surgery*; D061810:One-Lung Ventilation; D010149:Postoperative Pain / Q000188:drug therapy; D012371:Robotics / Q000379:methods*