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Review
. 2010 Mar;7(2):165-8.
doi: 10.1586/erd.09.69.

Challenges of telerobotics in coronary bypass surgery

Pranjal H Desai, Richard Tran, Todd Steinwagner, Robert S Poston
Review

Challenges of telerobotics in coronary bypass surgery

Pranjal H Desai et al. Expert Rev Med Devices. 2010 Mar.
No abstract available

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Figures

Figure 1
Figure 1. Postoperative image of a morbidly obese patient who underwent robot-assisted coronary artery bypass grafting using bilateral internal mammary artery grafts
The left and right robotic port site incisions are illustrated along with the 2-inch minithoracotomy incision, which is used to facilitate a direct, hand-sewn anastomosis to the distal coronary artery target.
Figure 2
Figure 2. Cumulative sum analysis of the first 160 cases of robotic surgery performed at the authors’ institution
The x-axis denotes consecutive patients undergoing robotic coronary artery bypass grafting from March 2008 until September 2009. The y-axis denotes the number of cumulative failures, assuming a total ‘acceptable failure rate’ of 13% for a perioperative complication and/or death based on the predicted risk from the Society of Thoracic Surgeons National Database.
See this image and copyright information in PMC

References

    1. Srivastava S, Gadasalli S, Agusala M, et al. Use of bilateral internal thoracic arteries in CABG through lateral thoracotomy with robotic assistance in 150 patients. Ann Thorac Surg. 2006;81(3):800–806. - PubMed
    1. Poston RS, Tran R, Collins M, et al. Comparison of economic and patient outcomes with minimally invasive vs. traditional off-pump CABG techniques. Ann Surg. 2008;248:638–646. - PMC - PubMed
    1. Bonatti J, Schachner T, Bonaros N, et al. How to improve performance of robotic totally endoscopic coronary artery bypass grafting. Am J Surg. 2008;195(5):711–716. - PubMed
    1. Reicher B, Poston RS, Mehra MR, et al. Simultaneous ‘hybrid’ percutaneous coronary intervention and minimally invasive surgical bypass grafting: feasibility, safety, and clinical outcomes. Am Heart J. 2008;155(4):661–667. - PMC - PubMed
    1. Novick RJ, Fox SA, Kiaii BB, et al. Analysis of the learning curve in telerobotic, beating heart coronary artery bypass grafting: a 90 patient experience. Ann Thorac Surg. 2003;76(3):749–755. - PubMed

Website

    1. CMS improves patient safety for Medicare and Medicaid by addressing never events. www.cms.hhs.gov/apps/media/fact_sheets.asp.