Author/Authors :
Timothy P. Martens، نويسنده , , Jeffrey A. Morgan، نويسنده , , Marco M. Hefti، نويسنده , , David A. Brunacci، نويسنده , , Faisal H. Cheema، نويسنده , , Satish K. Kesava، نويسنده , , Steve Xydas، نويسنده , , Nick C. Dang، نويسنده , , Deon W. Vigilance، نويسنده , , Takushi Kohmoto، نويسنده , , Lyall A. Gorenstein، نويسنده , , Craig R. Smith Jr، نويسنده , , Michael Argenziano MD، نويسنده ,
Abstract :
Over a 2-year period, 5 patients who required reoperative chest surgery underwent robotic adhesiolysis with the da Vinci (Intuitive, Sunnyvale, CA) system. Resternotomy was performed under direct visualization for coronary revascularization (n = 2) or valve replacement (n = 1). A fourth patient required coronary revascularization after a previous axilloaxillary bypass. The final case involved the preparation of a substernal pathway for a gastric pull-up. In all cases adhesions were taken down without injury to the underlying structures. All grafts were preserved, and all patients recovered uneventfully. Robotic adhesiolysis is a versatile technique that allows careful lysis of adhesions and minimizes the risk of major complication during reoperative chest surgery.
