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Robot-assisted cardiac surgery

East Carolina Heart Institute, East Carolina University, Pitt County Memorial Hospital, 600 Moye Boulevard, Greenville, NC 27834, USA

*Corresponding author. Tel.: +1 252 744 4822; fax: +1 252 744 3051.

E-mail address: chitwoodw{at}ecu.edu (W.R. Chitwood Jr.).

Recognition of the significant advantages of minimizing surgical trauma has resulted in a substantial increase in the number of minimally invasive (MI) cardiac surgical procedures being performed. Synchronously, technological advances in optics, instrumentation and perfusion technology have facilitated routine totally endoscopic robotic cardiac surgery using the da Vinci^® telemanipulation system (Intuitive Surgical Inc). This technology has been applied to many cardiac surgical procedures, in particular, mitral valve repair (MVP) and totally endoscopic coronary artery bypass grafting (TECAB), allowing the surgeon to operate through 5 mm port sites rather than a traditional median sternotomy. In this rapidly evolving field, we review the clinical results of robotic cardiac surgery.

Key Words: Surgical procedures; Minimally invasive; Thoracic surgery; Video-assisted; Robotics; Telemedicine/instrumentation