Feasibility of bilateral internal thoracic artery harvesting using the da Vinci SP system
| Autor: | Hubert J. Stein, Volkmar Falk |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry General Medicine Internal thoracic artery Anastomosis humanities Surgery 03 medical and health sciences 0302 clinical medicine Single incision Cadaver 030220 oncology & carcinogenesis medicine.artery medicine 030211 gastroenterology & hepatology Fifth intercostal space Thoracic artery business |
| Zdroj: | Surgery Today. 51:303-308 |
| ISSN: | 1436-2813 0941-1291 |
| Popis: | We conducted this study to investigate the feasibility of mobilizing the bilateral internal thoracic arteries (ITAs) using the da Vinci SP through a single intercostal incision and to compare the amount of rib spreading with that required for mini-thoracotomy procedures. We also evaluated the construction of an intrathoracic T-graft anastomosis using existing instrumentation of the SP system. We harvested bilateral ITAs from two male cadavers via a single incision made in the fifth intercostal space using the da Vinci SP. A T-graft end-to-side anastomosis was created in one cadaver. The bilateral ITAs were harvested in less than 60 min and a T-graft was completed. No additional rib spreading was required. Intraoperative adjustments of the da Vinci SP were necessary to maintain alignment with the surgical targets. Bilateral ITA harvest using the da Vinci SP through a single intercostal incision was feasible, with less rib spreading than in mini-thoracotomy procedures. Thus, creating an intrathoracic T-graft with the existing da Vinci SP instruments is possible. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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