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. 2016 Jul-Aug;11(4):260-7.
doi: 10.1097/IMI.0000000000000299.

Minimally Invasive Mitral Valve Surgery III: Training and Robotic-Assisted Approaches

Eric J Lehr  1 , T Sloane Guy, Robert L Smith, Eugene A Grossi, Richard J Shemin, Evelio Rodriguez, Gorav Ailawadi, Arvind K Agnihotri, Trevor M Fayers, W Clark Hargrove, Brian W Hummel, Junaid H Khan, S Chris Malaisrie, John R Mehall, Douglas A Murphy, William H Ryan, Arash Salemi, Romualdo J Segurola Jr, J Michael Smith, J Alan Wolfe, Paul W Weldner, Glenn R Barnhart, Scott M Goldman, Clifton T P Lewis
Affiliations

Minimally Invasive Mitral Valve Surgery III: Training and Robotic-Assisted Approaches

Eric J Lehr et al. Innovations (Phila). 2016 Jul-Aug.

Abstract

Minimally invasive mitral valve operations are increasingly common in the United States, but robotic-assisted approaches have not been widely adopted for a variety of reasons. This expert opinion reviews the state of the art and defines best practices, training, and techniques for developing a successful robotics program.

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Figures

FIGURE 1
FIGURE 1
Patient positioning for robotic-assisted MIMVR showing a small pillow placed inferior to the scapula (transparent ellipse).
FIGURE 2
FIGURE 2
Port placement for a robotic-assisted minithoracotomy approach. A, Left robotic port; robotic retractor port (B); right robotic port (C).
FIGURE 3
FIGURE 3
Port placement for a totally endoscopic robotic-assisted approach. A, Left robotic port; robotic retractor port (B); right robotic port (C); working port (D); camera port (E).
FIGURE 4
FIGURE 4
Pericardial incision and exposure; MV exposure with dynamic atrial retractor blades deployed.
See this image and copyright information in PMC

References

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