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Robot-assisted coronary surgery: A narrative review on the available data


 
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1. Title Title of document Robot-assisted coronary surgery: A narrative review on the available data
 
2. Creator Author's name, affiliation, country Francesca D’Auria; Cardiovascular Department, Università degli Studi di Salerno; Italy
 
2. Creator Author's name, affiliation, country Danilo Flavio Santo; Cardiovascular Department, Santagostino Medical Center; Italy
 
3. Subject Discipline(s)
 
3. Subject Keyword(s) MIDCAB; TECAB; ThoraCAB; robotic coronary surgery; robotic cardiac surgery; OPCABG; CABG; hybrid coronary surgery; hybrid coronary revascularizaiton; da Vinci Surgical System; minimally invasive revascularization
 
4. Description Abstract

The robot-based approach has been the most significant advancement in minimally invasive surgery over the past decade. Robotic coronary heart surgery represents half of the total cases of robotics-based cardiac surgery. Since 1998, it has emerged as a revolutionary approach to standard coronary surgery. However, despite its promising beginning, there has been a growing interest in the application of robotics in surgical fields other than cardiac surgery, such as urology and general surgery. In various waves of enthusiasm, single pioneers or visionary cardiac surgeons have tried to extend robotic surgery to different heart procedures, but they still struggled to practice it as a routine approach. Over the last 20 years, robotic platforms have gained importance in minimally invasive heart surgery, with proven safety and efficacy. However, despite its feasibility, safety, and efficacy, less than 0.5%–1.0% of coronary artery bypass grafting procedures are performed using a robot-assisted setup. We believe that in cardiac surgery, the time is ripe to open up new surgical strategies that are increasingly devoted to robotics, hybrid, and augmented-reality-based assistance. With this in mind, we wish to propose an excursus on the state of the art of coronary robotic surgery, its promising results, and its possible future perspectives, with a focus on the most recent achievements. This narrative minireview addresses, therefore, experiences and all aspects related to such a technique, with particular attention gained in robotic coronary revascularization, to the anaesthesiologic as well as surgical aspects, on the learning curve, patient outcome, and related costs, wishing to enlarge the portfolio of the younger generation of cardiac surgeons. In effect, according to the literature data, we are confident that robotic heart surgery is burgeoning, and the new generation of cardiac surgeons must face a gorgeous future if we invest in training and technology.

 
5. Publisher Organizing agency, location Asia Pacific Academy of Science Pte. Ltd.
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2024-12-26
 
8. Type Status & genre Peer-reviewed Article
 
8. Type Type
 
9. Format File format PDF
 
10. Identifier Uniform Resource Identifier https://aber.apacsci.com/index.php/ccr/article/view/2947
 
10. Identifier Digital Object Identifier (DOI) https://doi.org/10.54517/ccr.v5i2.2947
 
11. Source Title; vol., no. (year) Cardiac and Cardiovascular Research; Vol 5, No 2 (2024)
 
12. Language English=en en
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
15. Rights Copyright and permissions Copyright (c) 2024 Francesca D’Auria, Danilo Flavio Santo
https://creativecommons.org/licenses/by/4.0/