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首页> 外文期刊>Journal of cardiac surgery. >The Leipzig experience with robotic valve surgery.
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The Leipzig experience with robotic valve surgery.

机译：与机器人瓣膜手术的莱比锡经验。

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OBJECTIVES: The study describes the single-center experience using robot-assisted videoscopic mitral valve surgery and the early results with a remote telemanipulator-assisted approach for mitral valve repair. MATERIAL AND METHODS: Out of a series of 230 patients who underwent minimally invasive mitral valve surgery, in 167 patients surgery was performed with the use of robotic assistance. A voice-controlled robotic arm was used for videoscopic guidance in 152 cases. Most recently, a computer-enhanced telemanipulator was used in 15 patients to perform the operation remotely. RESULTS: The mitral valve was repaired in 117 and replaced in all other patients. The voice-controlled robotic arm (AESOP 3000) facilitated videoscopic-assisted mitral valve surgery. The procedure was completed without the need for an additional assistant as "solo surgery." Additional procedures like radiofrequency ablation and tricuspid valve repair were performed in 21 and 4 patients, respectively. Duration of bypass and clamp time was comparable to conventional procedures (107 A 34 and 50 A 16 min, respectively). Hospital mortality was 1.2%. Using the da Vinci telemanipulation system, remote mitral valve repair was successfully performed in 13 of 15 patients. CONCLUSION: Robotic-assisted less invasive mitral valve surgery has evolved to a reliable technique with reproducible results for primary operations and for reoperations. Robotic assistance has enabled a solo surgery approach. The combination with radiofrequency ablation (Mini Maze) in patients with chronic atrial fibrillation has proven to be beneficial. The use of telemanipulation systems for remote mitral valve surgery is promising, but a number of problems have to be solved before the introduction of a closed chest mitral valve procedure.
机译：目的：该研究描述了使用机器人辅助VieScopic二尖瓣手术的单中心经验和早期结果，具有远程Telemanipulator辅助方法进行二尖瓣修复。材料和方法：出于230例经历微创二尖瓣手术的230名患者中，在167例患者中使用机器人援助进行手术。语音控制的机器人臂用于在152例患者中进行视频镜导。最近，在15名患者中使用了一种计算机增强的Telemanipulator来远程执行操作。结果：二尖瓣在117中修复并在所有其他患者中更换。语音控制的机器人臂（AESOP 3000）促进了Videcopic辅助二尖瓣手术。该程序已完成，无需额外的助手作为“独奏手术”。额外的程序，如射频消融和三尖瓣修复分别在21例和4名患者中进行。旁路和钳位时间的持续时间与常规程序相当（分别为107 A 34和50 A 16分钟）。医院死亡率为1.2％。使用DA Vinci Telemanipulation系统，在15名患者的13例中成功进行远程二尖瓣修复。结论：机器人辅助较少的侵入式二尖瓣手术已经进化到可靠的技术，可再现的主要操作和重新进展结果。机器人援助已经启用了独奏手术方法。慢性心房颤动患者的射频消融（迷你迷宫）的组合已被证明是有益的。用于远程二尖瓣手术的Telemanipulation系统很有希望，但在引入封闭的胸部二尖瓣程序之前必须解决许多问题。

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