PMID- 16749980
OWN - NLM
STAT- MEDLINE
DCOM- 20060718
LR  - 20181113
IS  - 0008-428X (Print)
IS  - 1488-2310 (Electronic)
IS  - 0008-428X (Linking)
VI  - 49
IP  - 3
DP  - 2006 Jun
TI  - Computer-enhanced telemanipulation in mitral valve repair: preliminary experience 
      in Canada with the da Vinci robotic system.
PG  - 193-6
AB  - BACKGROUND: Investigation into the surgical application of robot technology 
      continues to expand. We report on the first case series of robotic-assisted 
      mitral valve (RAMV) repair in Canada with use of the da Vinci telemanipulation 
      system (Intuitive Surgical, Sunnyvale, Calif.). METHODS: Between February 2004 
      and August 2004, 10 patients with normal left ventricular function and severe 
      mitral valve regurgitation underwent RAMV repair with use of the da Vinci system. 
      Peripheral cardiopulmonary bypass, transthoracic aortic cross-clamping and 
      antegrade cardioplegia were used in all cases. A minithoracotomy in the fourth 
      intercostal space and 2 ports in the third and fifth intercostal spaces allowed 
      surgical access. All mitral valve valvuloplasties and band annuloplasties were 
      done endoscopically with robotic assistance. RESULTS: Nine of 10 patients had 
      successful valve repair, and 1 had conversion to mitral valve replacement due to 
      persistent regurgitation. There were no deaths, strokes or need for sternotomy. 
      One patient required re-exploration for bleeding. CONCLUSION: Minimally invasive 
      RAMV repair is feasible and safe with promising early postoperative results when 
      performed by experienced surgical personnel accomplished in both mitral valve 
      procedures and robotic techniques.
FAU - McClure, R Scott
AU  - McClure RS
AD  - Canadian Surgical Technologies & Advanced Robotics, London Health Sciences 
      Centre, University of Western Ontario. scott.mcclure@c-star.ca
FAU - Kiaii, Bob
AU  - Kiaii B
FAU - Novick, Richard J
AU  - Novick RJ
FAU - Rayman, Reiza
AU  - Rayman R
FAU - Swinamer, Stuart
AU  - Swinamer S
FAU - Kodera, Kojiro
AU  - Kodera K
FAU - Menkis, Alan H
AU  - Menkis AH
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Canada
TA  - Can J Surg
JT  - Canadian journal of surgery. Journal canadien de chirurgie
JID - 0372715
SB  - IM
MH  - Adult
MH  - Canada
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Prosthesis Implantation/*methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/*surgery
MH  - Retrospective Studies
MH  - Robotics/*instrumentation
MH  - *Surgery, Computer-Assisted
MH  - Telemedicine/*methods
MH  - Treatment Outcome
PMC - PMC3207600
EDAT- 2006/06/06 09:00
MHDA- 2006/07/19 09:00
PMCR- 2006/06/01
CRDT- 2006/06/06 09:00
PHST- 2006/06/06 09:00 [pubmed]
PHST- 2006/07/19 09:00 [medline]
PHST- 2006/06/06 09:00 [entrez]
PHST- 2006/06/01 00:00 [pmc-release]
AID - 0002789-200606000-00007 [pii]
PST - ppublish
SO  - Can J Surg. 2006 Jun;49(3):193-6.