ROBOTIC SURGERY IN CARDIO-THORACIC CONDITIONS

HISTORY

“ARTHROBOT” first surgical robot used in Canada,1983

Dr.James Mc Ewen and Geof Auchunek in collaboration with Dr.Brian Day

Voice commandsScrub nurseEye surgery

On a cadaver ..

1985, PUMA 560 –Brain biopsy using CT guidance

Contd…

• 1988,PROBOT,Imperial college,London-prostatic surgery

• 1992,ROBODOC,Integrated surgical systems• Da Vinci surgical system • AESOP & ZEUS robotic surgical systems

Da vinci surgical system -parts

Comparision of traditional laproscopic surgery to Da vinci robotic surgery

Surgeons console

Small incisions

http://wrongdoctors-diseases.blogspot.com/2010/05/da-vinci-robotic-surgery-pros-and-cons.html

Myths & Misconceptions?Costs much more than traditional surgeryIs riskier than traditional surgery

Advantages

1. Simpler procedure2. Minimally invasive3. Better technique4. Less painful5. Reduce bleeding6. Smaller scar7. Faster healing8. Decreased hospital stay

Disadvantages1. Longer learning period2. High cost equipment &

maintainence ,there by procedure

3. Reduction in space for assistants

4. Lack of tactile sensation for the surgeon

5. Latency

TYPES OF ROBOTICALLY ASSISTED HEART SURGERIES

1.Mitral valve repair and replacement surgery

2.Tricuspid valve repair and replacement surgery3.combined both the valves

Coronary artery by pass surgey

ASD repair

PFO repair

• Removal of intra cardiac tumors• Robot assisted thymectomy• Robotic lung lobectomy/wedge resection• Carotid artery disease

Role of a nurse in robotic surgery

• Preoperatively-educator• Intraoperatively-proper positioningCoordination and team workSkill