Robotic Bilateral Internal Mammary Arteries Harvesting One Way Approach
Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
OBJECTIVE: The use of robotic assistance has recently offered to internal mammary artery (IMA) mobilization in coronary artery bypass graft surgery. We present our early and short term experience in robotic bilateral internal mammary arteries mobilization from one way approach.
METHODS: From August 2014 to December 2016, a total 28 patients received da Vinci robotic assisted bilateral internal mammary arteries take-down and left thoracotomy to complete coronary artery bypass grafting. There were 21 males and 7 females, and the mean patient age was 62.31 years (from 29 to 80).
RESULTS: The robotic bilateral internal mammary arteries were all harvested in a skeletonized manner. In these 28 patients, all 56 internal mammary arteries were mobilized smoothly. We performed bilateral mammary arteries mobilization from left side pleura in 27 patients and one patient from right side pleura due to previous permanent pacemaker implantation in the left chest wall. There was no internal mammary artery injury while robotic internal mammary artery takedown. All 28 patients received left thoracotomy for coronary artery bypass grafting completed without conversion to median sternotomy.
CONCLUSIONS: Bilateral internal mammary arteries mobilization from one way approach using robotic da Vinci device can be performed safely without any complication.
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