Skip to main content
SpringerLink
Log in

Current State of Robotically Assisted Coronary Artery Bypass Surgery

  • Chapter
  • First Online:
Coronary Graft Failure

Abstract

The development of robotic technology for surgical purposes involves the convergence of several different technologies. From the use of telemanipulation in hazardous situations such as radiation handling and deep sea exploration to advances in microelectronics, computing and virtual reality techniques, all these areas of knowledge gave important contributions to our current status of development. Despite the fact that the first operations ever carried out robotically were heart surgery procedures, cardiac surgeons were more resistant to this new concept of minimally invasive therapy. In part because of the more difficult procedures in the cardiac realm, and in part due to the lack of tradition in laparoscopic surgery, the truth is that the cardiac surgical community was very slow and resistant in adopting this new technology. Still many brilliant surgeons paved the way and developed tactics and new approaches to old problems utilizing this robotic system.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Dimaio S, Hanuschik M, Kreaden U. The da Vinci surgical system. In: Rosen J, Hannaford B, Satava RM, editors. Surgical robots: system applications and visions. 1st ed. New York: Springer; 2011. p. 199–217.

    Chapter  Google Scholar 

  2. Pugin F, Bucher P, Morel P. History of robotic surgery: from Aesop® and Zeus® to da Vinci®. J Visc Surg. 2011;148(5 Suppl):E3–8.

    Article  CAS  PubMed  Google Scholar 

  3. Gao C. Overview of robotic cardiac surgery. In: Gao C, editor. Robotic cardiac surgery. 1st ed. Dordrecht/Heidelberg/New York/London: Springer; 2014. p. 1–14.

    Chapter  Google Scholar 

  4. Lehr EJ, Rodriguez E, Chitwood WR. Applications of surgical robotics in cardiac surgery. In: Rosen J, Hannaford B, Satava RM, editors. Surgical robots: system applications and visions. 1st ed. New York: Springer; 2011. p. 701–22.

    Chapter  Google Scholar 

  5. Carpentier A, Loulmet D, Carpentier A, Le Bret E, Haugades B, Dassier P, Guibourt P. Open heart operation under videosurgery and minithoracotomy. First case (mitral valvuloplasty) operated with success. C R Acad Sci III. 1996;319(3):219–23.

    CAS  PubMed  Google Scholar 

  6. Mohr FW, Falk V, Diegeler A, Autschback R. Computer-enhanced coronary artery bypass surgery. J Thorac Cardiovasc Surg. 1999;117(6):1212–4.

    Article  CAS  PubMed  Google Scholar 

  7. Loulmet D, Carpentier A, d'Attellis N, Berrebi A, Cardon C, Ponzio O, Aupècle B, Relland JY. Endoscopic coronary artery bypass grafting with the aid of robotic assisted instruments. J Thorac Cardiovasc Surg. 1999;118(1):4–10.

    Article  CAS  PubMed  Google Scholar 

  8. Chitwood Jr WR, Nifong LW, Elbeery JE, Chapman WH, Albrecht R, Kim V, Young JA. Robotic mitral valve repair: trapezoidal resection and prosthetic annuloplasty with the da vinci surgical system. J Thorac Cardiovasc Surg. 2000;120(6):1171–2.

    Article  PubMed  Google Scholar 

  9. Mehmanesh H, Henze R, Lange R. Totally endoscopic mitral valve repair. J Thorac Cardiovasc Surg. 2002;123(1):96–7.

    Article  PubMed  Google Scholar 

  10. Falk V, Diegeler A, Walther T, Jacobs S, Raumans J, Mohr FW. Total endoscopic off-pump coronary artery bypass grafting. Heart Surg Forum. 2000;3(1):29–31.

    CAS  PubMed  Google Scholar 

  11. Kappert U, Cichon R, Schneider J, Schramm I, Schüler S. Closed chest bilateral mammary artery grafting in double-vessel coronary artery disease. Ann Thorac Surg. 2000;70(5):1699–701.

    Article  CAS  PubMed  Google Scholar 

  12. Farhat F, Aubert S, Blanc P, et al. Totally endoscopic off-pump bilateral internal thoracic artery bypass grafting. Eur J Cardiothorac Surg. 2004;26:845–7.

    Article  PubMed  Google Scholar 

  13. Bonatti J, Rehman A, Schwartz K, et al. Robotic totally endoscopic triple coronary artery bypass grafting on the arrested heart: report of the first successful clinical case. Heart Surg Forum. 2010;13:E394–6.

    Article  PubMed  Google Scholar 

  14. Maciolek KA, Krienbring DJ, Naum ES, Arnsdorf SE, Balkhy HH. Combined totally endoscopic robotic coronary bypass and mitral valve repair via right-sided ports. Innovations (Phila). 2013;8(4):310–5.

    Article  Google Scholar 

  15. Torracca L, Ismeno G, Alfieri O. Totally endoscopic atrial septal defect closure using robotic techniques: report of two cases. Ital Heart J. 2000;1(10):698–701.

    CAS  PubMed  Google Scholar 

  16. Argenziano M, Oz MC, Kohmoto T, Morgan J, Dimitui J, Mongero L, Beck J, Smith CR. Totally endoscopic atrial septal defect repair with robotic assistance. Circulation. 2003;108 Suppl 1:II191–4.

    PubMed  Google Scholar 

  17. Murphy DA, Miller JS, Langford DA. Robot-assisted endoscopic excision of left atrial myxomas. J Thorac Cardiovasc Surg. 2005;130(2):596–7.

    Article  PubMed  Google Scholar 

  18. Woo YJ, Grand TJ, Weiss SJ. Robotic resection of an aortic valve papillary fibroelastoma. Ann Thorac Surg. 2005;80(3):1100–2.

    Article  PubMed  Google Scholar 

  19. Derose JJ, Ashton RC, Belsley S, Swistel DG, Vloka M, Ehlert F, Shaw R, Sackner-Bernstein J, Hillel Z, Steinberg JS. Robotically assisted left ventricular epicardial lead implantation for biventricular pacing. J Am Coll Cardiol. 2003;41(8):1414–9.

    Article  PubMed  Google Scholar 

  20. Folliguet TA, Vanhuyse F, Magnano D, Laborde F. Robotic aortic valve replacement: case report. Heart Surg Forum. 2004;7(6):E551–3.

    Article  PubMed  Google Scholar 

  21. Folliguet TA, Vanhuyse F, Konstantinos Z, Laborde F. Early experience with robotic aortic valve replacement. Eur J Cardiothorac Surg. 2005;28(1):172–3. Epub 2005 Apr 18.

    Article  PubMed  Google Scholar 

  22. Hanuschik M. The technology of robotic surgery. In: Gharagozloo F, Najam F, editors. Robotic surgery. 1st ed. New York: McGraw-Hill; 2009. p. 9–13.

    Google Scholar 

  23. Canale LS, Bonatti J. Mammary artery harvesting using the Da Vinci Si robotic system. Rev Bras Cir Cardiovasc. 2014;29(1):107–9.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Oehlinger A, Bonaros N, Schachner T, Ruetzler E, Friedrich G, Laufer G, Bonatti J. Robotic endoscopic left internal mammary artery harvesting: what have we learned after 100 cases? Ann Thorac Surg. 2007;83(3):1030–4.

    Article  PubMed  Google Scholar 

  25. Yang M, Gao CQ, Wu Y, Liu S. Robotic internal thoracic artery harvesting: the learning curve and graft patency. Chin Med J (Engl). 2013;126(10).

    Google Scholar 

  26. Canale LS, Bonatti J. How to perform a totally endoscopic coronary artery anastomosis with robotic assistance. Rev Brasil Cir Card. 2014;29(4):654–6. doi:10.5935/1678-9741.20140079.

    Google Scholar 

  27. Canale LS, Mick S, Mihaljevic T, Nair R, Bonatti J. Robotically assisted totally endoscopic coronary artery bypass surgery. J Thorac Dis. 2013;5 Suppl 6:S641–9. Review.

    PubMed  PubMed Central  Google Scholar 

  28. Bonatti J, Schachner T, Bonaros N, Oehlinger A, Ruetzler E, Friedrich G, Feuchtner G, Laufer G. How to improve performance of robotic totally endoscopic coronary artery bypass grafting. Am J Surg. 2008;195(5):711–6.

    Article  PubMed  Google Scholar 

  29. Bonatti JO, Zimrin D, Lehr EJ, Vesely M, Kon ZN, Wehman B, De Biasi AR, Hofauer B, Weidinger F, Schachner T, Bonaros N, Friedrich G. Hybrid coronary revascularization using robotic totally endoscopic surgery: perioperative outcomes and 5-year results. Ann Thorac Surg. 2012;94(6):1920–6; Discussion 1926.

    Article  PubMed  Google Scholar 

  30. Srivastava S, Barrera R, Quismundo S. One hundred sixty-four consecutive beating heart totally endoscopic coronary artery bypass cases without intraoperative conversion. Ann Thorac Surg. 2012;94(5):1463–8.

    Article  PubMed  Google Scholar 

  31. Bonatti J, Schachner T, Bonaros N, Lehr EJ, Zimrin D, Griffith B. Robotically assisted totally endoscopic coronary bypass surgery. Circulation. 2011;124(2):236–44.

    Article  PubMed  Google Scholar 

  32. Harskamp RE, Bonatti JO, Zhao DX, Puskas JD, De Winter RJ, Alexander JH, et al. Standardizing definitions for hybrid coronary revascularization. J Thorac Cardiovasc Surg. 2014;147(2):556–60.

    Article  PubMed  Google Scholar 

  33. Argenziano M, Katz M, Bonatti J, Srivastava S, Murphy D, Poirier R, Loulmet D, Siwek L, Kreaden U, Ligon D, TECAB Trial Investigators. Results of the prospective multicenter trial of robotically assisted totally endoscopic coronary artery bypass grafting. Ann Thorac Surg. 2006;81(5):1666–74; discussion 1674–5.

    Article  PubMed  Google Scholar 

  34. Bonaros N, Schachner T, Lehr E, Kofler M, Wiedemann D, Hong P, Wehman B, Zimrin D, Vesely MK, Friedrich G, Bonatti J. Five hundred cases of robotic totally endoscopic coronary artery bypass grafting: predictors of success and safety. Ann Thorac Surg. 2013;95(3):803–12.

    Article  PubMed  Google Scholar 

  35. Bonatti J, Schachner T, Bonaros N, et al. Effectiveness and safety of total endoscopic left internal mammary artery bypass graft to the left anterior descending artery. Am J Cardiol. 2009;104:1684–8.

    Article  PubMed  Google Scholar 

  36. De Cannière D, Wimmer-Greinecker G, Cichon R, et al. Feasibility, safety, and efficacy of totally endoscopic coronary artery bypass grafting: multicenter european experience. J Thorac Cardiovasc Surg. 2007;134:710–6.

    Article  PubMed  Google Scholar 

  37. Dogan S, Aybek T, Andressen E, et al. Totally endoscopic coronary artery bypass grafting on cardiopulmonary bypass with robotically enhanced telemanipulation: report of forty-five cases. J Thorac Cardiovasc Surg. 2002;123:1125–31.

    Article  CAS  PubMed  Google Scholar 

  38. Balkhy HH, Wann LS, Krienbring D, et al. Integrating coronary anastomotic connectors and robotics toward a totally endoscopic beating heart approach: review of 120 cases. Ann Thorac Surg. 2011;92:821–7.

    Article  PubMed  Google Scholar 

  39. Jegaden O, Wautot F, Sassard T, et al. Is there an optimal minimally invasive technique for left anterior descending coronary artery bypass? J Cardiothorac Surg. 2011;6:37.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Gao C, Yang M, Wu Y, et al. Early and midterm results of totally endoscopic coronary artery bypass grafting on the beating heart. J Thorac Cardiovasc Surg. 2011;142:843–9.

    Article  PubMed  Google Scholar 

  41. Dhawan R, Roberts JD, Wroblewski K, et al. Multivessel beating heart robotic myocardial revascularization increases morbidity and mortality. J Thorac Cardiovasc Surg. 2012;143:1056–61.

    Article  PubMed  Google Scholar 

  42. Bachinsky WB, Abdelsalam M, Boga G, Kiljanek L, Mumtaz M, Mccarty C. Comparative study of same sitting hybrid coronary artery revascularization versus off-pump coronary artery bypass in multivessel coronary artery disease. J Interv Cardiol. 2012;25(5):460–8.

    Article  PubMed  Google Scholar 

  43. Halkos ME, Rab ST, Vassiliades TA, Morris DC, Douglas JS, Kilgo PD, et al. Hybrid coronary revascularization versus off-pump coronary artery bypass for the treatment of left main coronary stenosis. Ann Thorac Surg. 2011;92(6):2155–60.

    Article  PubMed  Google Scholar 

  44. Seco M, Edelman JJ, Yan TD, Wilson MK, Bannon PG, Vallely MP. Systematic review of robotic-assisted, totally endoscopic coronary artery bypass grafting. Ann Cardiothorac Surg. 2013;2(4):408–18. doi:10.3978/J.Issn.2225-319X.2013.07.23.

    PubMed  PubMed Central  Google Scholar 

  45. Wang S, Zhou J, Cai JF. Traditional coronary artery bypass graft versus totally endoscopic coronary artery bypass graft or robot-assisted coronary artery bypass graft–meta-analysis of 16 studies. Eur Rev Med Pharmacol Sci. 2014;18(6):790–7.

    CAS  PubMed  Google Scholar 

  46. Bonaros N, Schachner T, Wiedemann D, et al. Quality of life improvement after robotically assisted coronary artery bypass grafting. Cardiology. 2009;114:59–66.

    Article  PubMed  Google Scholar 

  47. Bonatti J, Lee JD, Bonaros N, et al. Robotic totally endoscopic multivessel coronary artery bypass grafting: procedure development, challenges, results. Innovations (Phila). 2012;7:3–8.

    Article  Google Scholar 

  48. Kopp M, Knuenz A, Oberascher F, Pfaffenberger N, Lucic N, Ruedl G, Holzner B, Bonaros N, Johannes B. Psychomotor car-driving abilities after robotically assisted totally endoscopic coronary artery bypass grafting. Thorac Cardiovasc Surg. 2012;60(7):462–7.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Heart Surgery, National Institute of Cardiology, Rio de Janeiro, Brazil

    Leonardo Secchin Canale MD

  2. Department of Cardiothoracic Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

    Johannes Bonatti MD, FETCS

  3. Department of Cardiothoracic Surgery, Sydell and Arnold Miller Family Heart & Vascular Institute, Abu Dhabi, United Arab Emirates

    Johannes Bonatti MD, FETCS

Authors
  1. Leonardo Secchin Canale MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Johannes Bonatti MD, FETCS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Leonardo Secchin Canale MD .

Editor information

Editors and Affiliations

  1. Cardiology, Army's Center for Cardiovascular Di, Bucharest, Romania

    Ion C. Ţintoiu

  2. Department of Surgery, Chinese University of Hong Kong, Sha Tin, Hong Kong

    Malcolm John Underwood

  3. University Fribourg, Hospital HFR Fribourg, Fribourg, Fribourg, Switzerland

    Stephane Pierre Cook

  4. Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan

    Hironori Kitabata

  5. University Medical Center, Texas Tech Univ. Health Science Center, EL PASO, Texas, USA

    Aamer Abbas

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Canale, L.S., Bonatti, J. (2016). Current State of Robotically Assisted Coronary Artery Bypass Surgery. In: Ţintoiu, I., Underwood, M., Cook, S., Kitabata, H., Abbas, A. (eds) Coronary Graft Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-26515-5_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-26515-5_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26513-1

  • Online ISBN: 978-3-319-26515-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation