Application of robotics in congenital cardiac surgery.
Identifieur interne : 006D48 ( Main/Curation ); précédent : 006D47; suivant : 006D49Application of robotics in congenital cardiac surgery.
Auteurs : Jeremy W. Cannon [États-Unis] ; Robert D. Howe ; Pierre E. Dupont ; John K. Triedman ; Gerald R. Marx ; Pedro J. Del NidoSource :
- Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual [ 1092-9126 ] ; 2003.
English descriptors
- KwdEn :
- Cardiac Surgical Procedures (instrumentation), Cardiac Surgical Procedures (methods), Clinical Trials as Topic, Female, Follow-Up Studies, Forecasting, Heart Defects, Congenital (diagnosis), Heart Defects, Congenital (mortality), Heart Defects, Congenital (surgery), Humans, Infant, Infant, Newborn, Male, Minimally Invasive Surgical Procedures (instrumentation), Minimally Invasive Surgical Procedures (methods), Research, Risk Assessment, Robotics (standards), Robotics (trends), Survival Analysis, Thoracoscopy (methods), Treatment Outcome, Video-Assisted Surgery (instrumentation), Video-Assisted Surgery (methods).
- MESH :
- diagnosis : Heart Defects, Congenital.
- instrumentation : Cardiac Surgical Procedures, Minimally Invasive Surgical Procedures, Video-Assisted Surgery.
- methods : Cardiac Surgical Procedures, Minimally Invasive Surgical Procedures, Thoracoscopy, Video-Assisted Surgery.
- mortality : Heart Defects, Congenital.
- standards : Robotics.
- surgery : Heart Defects, Congenital.
- trends : Robotics.
- Clinical Trials as Topic, Female, Follow-Up Studies, Forecasting, Humans, Infant, Infant, Newborn, Male, Research, Risk Assessment, Survival Analysis, Treatment Outcome.
Abstract
Over the past 5 years, robotic systems that combine advanced endoscopic imaging with computer-enhanced instrument control have been used for both coronary revascularization and intracardiac procedures in adults. In addition, endoscope positioning systems and articulated instruments with a robotic wrist mechanism have further expanded the potential applications for robotics in cardiac surgery. In pediatric cardiac surgery, potential applications can be divided into simple scope manipulation versus the use of 3-dimensional imaging and a robotic wrist for dissection and reconstruction. A voice-controlled robotic arm for scope manipulation can facilitate current pediatric thoracoscopic procedures such as ligation of patent ductus arteriosus and division of vascular rings. By using an advanced imaging system along with a robotic wrist, more complex extracardiac and even intracardiac procedures can be performed in children. Examples include coarctation repair, septal defect repair, and mitral or tricuspid valvuloplasty. Furthermore, with adequate intracardiac imaging, a robot-assisted off-pump approach to intracardiac pathology is conceivable. New real-time 3-dimensional echocardiography now offers sufficient resolution to enable such procedures, while the addition of instrument tracking, haptic feedback, and novel tissue fixation devices can facilitate safe and reliable intracardiac repair without extracorporeal circulation.
DOI: 10.1053/pcsu.2003.50000
PubMed: 12740773
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pubmed:12740773Le document en format XML
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<term>Follow-Up Studies</term>
<term>Forecasting</term>
<term>Heart Defects, Congenital (diagnosis)</term>
<term>Heart Defects, Congenital (mortality)</term>
<term>Heart Defects, Congenital (surgery)</term>
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<term>Robotics (trends)</term>
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<term>Thoracoscopy (methods)</term>
<term>Treatment Outcome</term>
<term>Video-Assisted Surgery (instrumentation)</term>
<term>Video-Assisted Surgery (methods)</term>
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<front><div type="abstract" xml:lang="en">Over the past 5 years, robotic systems that combine advanced endoscopic imaging with computer-enhanced instrument control have been used for both coronary revascularization and intracardiac procedures in adults. In addition, endoscope positioning systems and articulated instruments with a robotic wrist mechanism have further expanded the potential applications for robotics in cardiac surgery. In pediatric cardiac surgery, potential applications can be divided into simple scope manipulation versus the use of 3-dimensional imaging and a robotic wrist for dissection and reconstruction. A voice-controlled robotic arm for scope manipulation can facilitate current pediatric thoracoscopic procedures such as ligation of patent ductus arteriosus and division of vascular rings. By using an advanced imaging system along with a robotic wrist, more complex extracardiac and even intracardiac procedures can be performed in children. Examples include coarctation repair, septal defect repair, and mitral or tricuspid valvuloplasty. Furthermore, with adequate intracardiac imaging, a robot-assisted off-pump approach to intracardiac pathology is conceivable. New real-time 3-dimensional echocardiography now offers sufficient resolution to enable such procedures, while the addition of instrument tracking, haptic feedback, and novel tissue fixation devices can facilitate safe and reliable intracardiac repair without extracorporeal circulation.</div>
</front>
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