PMID- 19923091
OWN - NLM
STAT- MEDLINE
DCOM- 20110331
LR  - 20141120
IS  - 1673-4254 (Print)
IS  - 1673-4254 (Linking)
VI  - 29
IP  - 11
DP  - 2009 Nov
TI  - [Perfusion strategies of extracorporeal circulation for robotically assisted 
      cardiac surgery].
PG  - 2300-1
AB  - OBJECTIVE: To discuss the management of extracorporeal circulation (ECC) for 
      robotically assisted cardiac surgery. METHODS: A total of 71 patients underwent 
      cardiac surgeries using da Vinci S robotic surgical system, including 49 
      undergoing atrial septal defect repair (ASDR), 13 undergoing mitral valvuloplasty 
      (MVP), 8 receiving left atrial myxoma excision and 1 having right atrial myxoma 
      excision. For most of the patients, ECC was established through the femoral 
      arterial cannula, femoral venous cannula and right internal jugular venous 
      cannula, with only 1 patient undergoing MVP with femorai arterial cannula and 
      femoral venous cannula. In all the cases, vacuum-assisted venous drainage (VAVD), 
      continuous blood gas monitoring and ultrafiltration were used during ECC. 
      Myocardial protection was managed with 4:1 blood cardioplegic solution (61 cases) 
      or HTK solution (10 cases receiving MVP). RESULTS: The mean ECC time and aortic 
      cross-clamp time was 116.1-/+35.5 min (range 45-206 min) and 58.5-/+23.6 min 
      (range 27-132 min) in these patients, respectively. During ECC, the mean urine 
      volume was 825.5-/+447.3 ml (200-1900 ml) and ultrafiltration volume was 
      2571.1-/+885.9 ml (800-4800 ml) with subzero-balanced (58 cases) or zero-balanced 
      (9 cases) total fluid balance. The mean postoperative intubation time was 
      10.1-/+5.3 h (7-17 h) and drainage volume within 24 h postoperatively was 
      217.5-/+167.8 ml (80-680 ml). CONCLUSION: The establishment of ECC system through 
      peripheral vessels, certain learning curve of perfusion technique and close 
      communication between the surgical team are the key points of ECC for totally 
      robotically assisted cardiac surgery, and VAVD and continuous blood gas 
      monitoring are essential during ECC.
FAU - Wang, Jia-Li
AU  - Wang JL
AD  - Department of Cardiovascular Surgery, Chinese PLA General Hospital, Beijing 
      100853, China. wangjiali301@sina.com.cn
FAU - Li, Jia-Chun
AU  - Li JC
FAU - Li, Jia-Chun
AU  - Li JC
FAU - Gao, Chang-Qing
AU  - Gao CQ
FAU - Zhang, Tao
AU  - Zhang T
LA  - chi
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - China
TA  - Nan Fang Yi Ke Da Xue Xue Bao
JT  - Nan fang yi ke da xue xue bao = Journal of Southern Medical University
JID - 101266132
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Extracorporeal Circulation
MH  - Female
MH  - Heart Septal Defects, Atrial/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimally Invasive Surgical Procedures
MH  - Mitral Valve/surgery
MH  - *Robotics
MH  - Young Adult
EDAT- 2009/11/20 06:00
MHDA- 2011/04/01 06:00
CRDT- 2009/11/20 06:00
PHST- 2009/11/20 06:00 [entrez]
PHST- 2009/11/20 06:00 [pubmed]
PHST- 2011/04/01 06:00 [medline]
PST - ppublish
SO  - Nan Fang Yi Ke Da Xue Xue Bao. 2009 Nov;29(11):2300-1.