Totally Endoscopic Robotic Mitral Valve Surgery

Abstract Mitral valve dysfunction can seriously impair patients’ lives and may require valve repair or replacement. Surgery can be performed using techniques including sternotomy; right thoracotomy with or without robot assistance; and the totally endoscopic robotic technique, which requires percuta...

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Bibliographic Details
Published in:AORN journal 2016-10, Vol.104 (4), p.293-306
Main Authors: McCarthy, James R., RN, AS, CNOR, CRNFA, Guy, T. Sloane, MD, MBA
Format: Article
Language:English
Subjects:
Anesthesia & Perioperative Care
Coronary vessels
endoclamp
endoscopic mitral valve
Endoscopy
Heart surgery
Heart Valve Diseases - surgery
Heart Valve Prosthesis Implantation - methods
Humans
mitral repair
Mitral Valve - surgery
Nursing
Patient Positioning
Perianesthesia
Philadelphia
Preoperative Care
robotic mitral surgery
Robotic Surgical Procedures - methods
Robotics
Surgery
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Description
Summary:Abstract Mitral valve dysfunction can seriously impair patients’ lives and may require valve repair or replacement. Surgery can be performed using techniques including sternotomy; right thoracotomy with or without robot assistance; and the totally endoscopic robotic technique, which requires percutaneous techniques, femoral cannulation, and endovascular aortic cross-clamping. The totally endoscopic robotic technique has been facilitated by minimally invasive surgical techniques, the evolution of endoscopic techniques, and the development of surgical robots. These advances have enhanced the view of the surgical field and provide better exposure for the repair or replacement of the mitral valve and subvalvular apparatus. This article describes the totally endoscopic robotic approach to mitral valve surgery as performed at Temple University Hospital, Philadelphia, Pennsylvania.
ISSN:0001-2092
1878-0369
DOI:10.1016/j.aorn.2016.07.013