A Novel Robotic Bilateral Internal Mammary Artery Harvest Using Double Docking Technique for Coronary Artery Bypass Grafting
A Novel Robotic Bilateral Internal Mammary Artery Harvest Using Double Docking Technique for Coronary Artery Bypass Grafting
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新型机器人双侧乳内动脉采集，采用双对接技术进行冠状动脉搭桥术
DOI：
10.1097/imi.0000000000000331
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
PhD
中科院分区：
文献类型：
--
作者：
Tarui;Tatsuya MD;PhD; Ishikawa;Norihiko MD;PhD; Watanabe;Go MD;PhD
达芬奇外科系统(Da Vinci Surgical System)实现了乳内动脉(IMA)采集的端口访问。然而，单侧进行双侧IMA(BIMA)采集是困难的。我们开发了一种新的技术，通过从左侧移位到右侧来实现达芬奇的双重对接，并研究了其可行性。12名患者使用双对接技术进行了BIMA采集。首先，把达芬奇放在病人的左侧，以便采集右侧的IMA。之后，达芬奇被从病人的左侧移位到右侧。测量旋转过程中经过的时间。随后，从患者右侧取左侧IMA。远端吻合术采用小前外侧开胸手术。所有的IMA都被收获，然后毫发无损地绕过了。旋转过程中平均±SD时间为6.5±0.6分钟。无一例中转胸骨切开。通过双边对接技术成功地进行了双边IMA采集，可行性可以接受。
da Vinci Surgical System (da Vinci) enabled port access for internal mammary arteries (IMA) harvesting. However, bilateral IMA (BIMA) harvesting is difficult when performed on single side. We developed a novel technique of double docking the da Vinci by transpositioning from the left side to the right and examined the feasibility. Twelve patients underwent BIMA harvesting using the double-docking technique. First, the da Vinci was set on the patient's left side for the right IMA harvesting. Afterward, the da Vinci was undocked and transpositioned from the patient's left side to the right side. The time elapsed during rotation was measured. Subsequently, the left IMA was harvested from patient's right side. Distal anastomoses were performed by a small anterolateral thoracotomy. All of the IMAs were harvested and then bypassed without damage. The mean ± SD time that elapsed during rotation was 6.5 ± 0.6 minutes. There was no conversion to sternotomy. Bilateral IMA harvesting by the bilateral docking technique was performed successfully with acceptable feasibility.
影响因子：
3.3
作者：
Ishikawa, Norihiko;Watanabe, Go;Iino, Kenji
通讯作者：
Iino, Kenji