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Robotic Internal Thoracic Artery Harvesting

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Abstract

Purpose

Great progress has been made in robotic surgery, and several reports on robot-assisted coronary artery bypass grafting (CABG) have been published. Our team at Kanazawa University began using the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) in 2005. We report our experience of using the da Vinci Surgical System for totally endoscopic internal thoracic artery (ITA) harvesting.

Methods

Between December 2005 and May 2006, we used the da Vinci Surgical System to harvest the ITA through three ports placed on the left side of the chest in 10 patients.

Results

All 10 ITAs were harvested successfully in a skeletonized fashion. The robotic harvesting time was reasonable at 38.8 ± 25.2 min, and the average length of harvested ITA was 16.2 ± 3.1 cm. After computer-enhanced ITA harvesting, seven patients underwent off-pump CABG and three patients underwent minimally invasive direct CABG. There was no mortality, and the postoperative patency rate of all grafts was 100%.

Conclusions

The da Vinci Surgical System provides a high-resolution stereoscopic image and allows remote, tremor-free, and scaled control of endoscopic surgical instruments with seven degrees of freedom. Computer-enhanced ITA harvesting was performed safely with excellent results.

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Authors and Affiliations

  1. Department of Telesurgery, Kanazawa University School of Medicine, 13-1 Takara-machi, Kanazawa, 920-8641, Japan

    Norihiko Ishikawa & Noriyuki Inaki

  2. Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine, 13-1 Takara-machi, Kanazawa, 920-8641, Japan

    Go Watanabe, Kenji Iino, Shigeyuki Tomita, Shojiro Yamaguchi & Koichi Higashidani

  3. Department of Cardiac Surgery, Tokyo Medical University, Tokyo, Japan

    Go Watanabe & Kenji Kawachi

Authors
  1. Norihiko Ishikawa
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  2. Go Watanabe
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  3. Kenji Iino
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  4. Shigeyuki Tomita
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  5. Shojiro Yamaguchi
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  6. Koichi Higashidani
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  7. Kenji Kawachi
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  8. Noriyuki Inaki
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Ishikawa, N., Watanabe, G., Iino, K. et al. Robotic Internal Thoracic Artery Harvesting. Surg Today 37, 944–946 (2007). https://doi.org/10.1007/s00595-007-3542-4

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  • DOI: https://doi.org/10.1007/s00595-007-3542-4

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