Early experience with robotically assisted internal thoracic artery harvest

Walter D Boyd, Bob Kiaii, Kojiro Kodera, Reiza Rayman, Walid Abu-Khudair, Shafie Fazel, Wojciech B. Dobkowski, Sugantha Ganapathy, George Jablonsky, Richard J. Novick

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

We sought to determine the efficacy of using robotic assistance to facilitate endoscopic harvesting of internal thoracic arteries (ITAs). A total of 104 patients had ITAs harvested endoscopically with use of both the AESOP 3000 system (Computer Motion, Goleta, CA, U.S.A.) and Zeus robotic telesurgical system (Computer Motion). All ITAs were harvested with a harmonic scalpel (Ethicon Endosurgery, Cincinnati, OH, U.S.A.). With the left lung collapsed, ITAs were harvested with CO2 insufflation through three 5-mm ports in the left chest. All patients tolerated insuflation without hemodynamic compromise. Average ITA harvest time was 61.3 ± 20.9 minutes. Intraoperative graft flows averaged 36.3 ± 22.4 mL/min. There were three distal ITA injuries; all other vessels were patent after harvesting and demonstrated no angiographic evidence of injury. This article demonstrates a technique by which ITA can be safely harvested totally endoscopically with use of computer-enhanced robotic systems and a harmonic scalpel, allowing complete pedicle dissection through 5-mm ports with minimal ITA manipulation.

Original languageEnglish (US)
Pages (from-to)52-57
Number of pages6
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume12
Issue number1
DOIs
StatePublished - 2002
Externally publishedYes

Keywords

  • Endoscopic
  • Harmonic scalpel
  • Robotic
  • Telemanipulation
  • Thoracoscopic

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Boyd, W. D., Kiaii, B., Kodera, K., Rayman, R., Abu-Khudair, W., Fazel, S., Dobkowski, W. B., Ganapathy, S., Jablonsky, G., & Novick, R. J. (2002). Early experience with robotically assisted internal thoracic artery harvest. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, 12(1), 52-57. https://doi.org/10.1097/00019509-200202000-00009