Robotic cardiac surgery: Overview

Michael D. Diodato, Ralph J. Damiano

Research output: Contribution to journalReview articlepeer-review

36 Scopus citations

Abstract

Most endoscopic procedures are excisional, not reconstructive or microsurgical, mostly because conventional endoscopic instrumentation lacks dexterity due to long, nonarticulated instruments, a fixed pivot point and counterintuitive movement of the instrument tip, and lack of depth perception. Endoscopic approaches to cardiac surgery have not been successful; however, the development of robotic surgical systems has overcome many limitations of endoscopy. Computer-assisted surgery has created a computerized digital interface between the surgeon's hands and surgical instrument tips and enhances surgical ability, thereby enabling endoscopic microsurgery. Recently, robotic systems have allowed cardiac surgeons to perform minimally invasive endoscopic coronary artery bypass grafting (CABG) and valve procedures. This article summarizes the use of robotics in cardiac surgery and discusses its potential in our specialty.

Original languageEnglish
Pages (from-to)1351-1367
Number of pages17
JournalSurgical Clinics of North America
Volume83
Issue number6
DOIs
StatePublished - Dec 2003

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