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Adhesiolysis is facilitated by robotic technology in reoperative cardiac surgery. Ann Thorac Surg 2005 Sep;80(3):1103-5

Date

08/27/2005

Pubmed ID

16122499

DOI

10.1016/j.athoracsur.2004.03.023

Scopus ID

2-s2.0-23944471149 (requires institutional sign-in at Scopus site)   7 Citations

Abstract

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.

Author List

Martens TP, Morgan JA, Hefti MM, Brunacci DA, Cheema FH, Kesava SK, Xydas S, Dang NC, Vigilance DW, Kohmoto T, Gorenstein LA, Smith CR Jr, Argenziano M

Author

Takushi Kohmoto MD, PhD Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Aged
Aged, 80 and over
Cardiac Surgical Procedures
Female
Humans
Male
Middle Aged
Reoperation
Robotics
Sternum
Tissue Adhesions
Treatment Outcome