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- W2384080342 abstract "Objective To summarize our initial experience in using the da Vinci Surgical System for internal mammary artery harvesting.Methods Between May 2010 and Sept.2010,22 patients received da Vinci assisted minimally invasive coronary artery bypass grafting;the patients included 16 males and 6 females,with the mean age being(61.3±11.9) years old.All patients had been confirmed to have serious stenosis on the left anterior descending artery(LAD) by coronary angiography,with the mean EuroSCORE being 2.The da Vinci Surgical System was used to harvest the left internal mammary artery(LIMA) in a skeletonized fashion in all patients,and then through a small anterolateral thoracotomy and LIMA-LAD anastomoses were performed by using Genzyme stabilization.Results LIMAs were successfully harvested in 20 of the 22 patients,with the mean harvesting time being(40.8±18.6) min.The LIMA was spasm after harvested in one patient.Hematoma was found in the LIMA of another patient.All anastomoses were satisfactory.The mean flow rate in LIMA was(19.5±8.6) mL/min and the mean plus index was 2.7±1.1.There was no mortality,stroke,myocardial infarction,or wound infection after operation.Hydrothorax was found in one patient.Reoperation for postoperative bleeding was performed in two patients.Conclusion Pre-operation CT scan,proper port location,low energy cautery,gentle dissection and effective drainage are helpful for the robotic internal mammary artery harvesting." @default.
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- W2384080342 date "2011-01-01" @default.
- W2384080342 modified "2023-09-27" @default.
- W2384080342 title "Robot-assisted surgery in harvesting internal mammary artery:experience and skills" @default.
- W2384080342 hasPublicationYear "2011" @default.
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