Totally endoscopic coronary artery bypass surgery
Totally endoscopic coronary artery bypass surgery (TECAB) is an entirely endoscopic robotic surgery used to treat coronary heart disease, developed in the late 1990s. It is an advanced form of minimally invasive direct coronary artery bypass surgery, which allows bypass surgery to be conducted off-pump without opening the ribcage. The technique involves three or four small holes in the chest cavity through which two robotic arms, and one camera are inserted.[1][2]
| Totally endoscopic coronary artery bypass surgery | |
|---|---|
| ICD-9-CM | 36.34 |
TECAB technology edit
TECAB surgery uses the da Vinci tele-robotic stereoscopic 3-D imaging system. The system consists of a robotic "slave" system at the bedside. The robot relays its information to an external surgical control unit, where a cardiac surgeon has a three-dimensional view of the chest cavity, and twin controllers for the robotic arms. The procedure frequently involves grafting of the internal mammary artery to the diseased coronary artery, and therefore does not require external harvesting of blood vessels.[3]
References edit
- ^ Kappert U, Schneider J, Cichon R, et al. (2000). "Closed chest totally endoscopic coronary artery bypass surgery: fantasy or reality?". Curr Cardiol Rep. 2 (6): 558–63. doi:10.1007/s11886-000-0042-1. PMID 11060584. S2CID 22448848.
- ^ Canale, LS; Mick, S; Mihaljevic, T; Nair, R; Bonatti, J (November 2013). "Robotically assisted totally endoscopic coronary artery bypass surgery". Journal of Thoracic Disease. 5 (Suppl 6): S641-9. doi:10.3978/j.issn.2072-1439.2013.10.19. PMC 3831835. PMID 24251021.
- ^ Mishra YK, Wasir H, Sharma KK, Mehta Y, Trehan N (December 2006). "Totally endoscopic coronary artery bypass surgery". Asian Cardiovasc Thorac Ann. 14 (6): 447–51. doi:10.1177/021849230601400601. PMID 17130316. S2CID 34034457.