Atrial septal defect robotic repair

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, MBBS [2]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [3]

Overview

Robotic repair is done through the ‘da Vinci Surgical System’ (intuitive surgical) is the most recent and advanced approach for the repair of atrial septal defect ^[1]. Due to this technique a surgeon can perform operations from a remote distance. The surgeon gets an excellent three dimensional view of the heart through the fiberoptic stereoscopic camera. The surgeon‘s hand motions are relayed to a computer processor, which digitizes and relays them to the fine instrument placed into the chest through small port incisions.

Robotic Repair

Component of Robotic Repair

Surgeon console
Computerized control system
Two instrument arms
Fiberoptic camera

Advantages

Surgery Specific

High degree of freedom of hand movement.
Better precision compared to hand done surgery.
Performance of complex operations with great success.
Operation could be performed by the surgeon from remote distance.
Excellent visualization and magnification of internal anatomy due to two camera system.
Doctor does the surgery remotely, so there is decrease in spread of infection to patient from the doctor.

Patient Specific

Small incisions
Minimal scarring
Decreased bleeding
Decreased infection
Shorter recovery period
Less traumatic for patient
No restrictions in activities
Less pain so less use of pain medications
Shorter hospital stay (usually 3 to 4 days)

References

↑ Suematsu Y, Kiaii B, Bainbridge DT, del Nido PJ, Novick RJ (2007). “Robotic-assisted closure of atrial septal defect under real-time three-dimensional echo guide: in vitro study”. Eur J Cardiothorac Surg. 32 (4): 573–6. doi:10.1016/j.ejcts.2007.06.026. PMID 17702588.

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[pmid17702588-1] Suematsu Y, Kiaii B, Bainbridge DT, del Nido PJ, Novick RJ (2007). “Robotic-assisted closure of atrial septal defect under real-time three-dimensional echo guide: in vitro study”. Eur J Cardiothorac Surg. 32 (4): 573–6. doi:10.1016/j.ejcts.2007.06.026. PMID 17702588.

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