Robotically assisted mitral valve repair—port-only totally endoscopic approach
نویسندگان
چکیده
: Robotic mitral valve repair (MVR) is an emerging option to treat degenerative disease. Compared open thoracotomy, robotic surgery has been shown afford decreased postoperative length of stay with comparable rates mortality and morbidity. Among the variety techniques for MVR, totally endoscopic approach remains least invasive method date. In this report, we describe our technique robotically-assisted MVR. particular, seek highlight use several unique in Percutaneous cannulation endoballoon employed cardiopulmonary bypass (CPB), thus avoiding traditional aortic cross-clamping. Moreover, intercostal nerve cryoanesthesia performed from T3–T9 reduce post-operative pain aid reducing opioid management. Barbed, nonabsorbable sutures are used throughout procedure (for left atrial appendage closure, annuloplasty band placement, pericardial re-approximation), eliminating need knot-tying at steps. We also detail installation two sets neochords regurgitation fastening band. Finally, would like small size each port case (eight millimeters maximum diameter). Taken together, these features platform make it notable its minimally
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Value of robotically assisted surgery for mitral valve disease.
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ژورنال
عنوان ژورنال: Journal of visualized surgery
سال: 2023
ISSN: ['2221-2965']
DOI: https://doi.org/10.21037/jovs-22-36