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Robotertechniken in der Herzchirurgie

Robotic techniques in cardiac surgery

  • Roboterchirurgie
  • Published:
Wiener klinisches Magazin Aims and scope

Zusammenfassung

Robotertechniken werden im Rahmen der Herzchirurgie in den Subdisziplinen der koronaren Bypass- und Mitralklappenchirurgie sowie ihrer assoziierten Operationsverfahren angewendet. Bisher werden diese nur an wenigen, hochspezialisierten Zentren durchgeführt. Standardisierte Ausbildung und kontinuierliches Training sind zur fehlerfreien Bedienung des Roboters erforderlich. Der Patientenselektion und dem perioperativen Monitoring kommt besondere Bedeutung zu. Neben dem an der Roboterkonsole tätigen Chirurgen ist ein weiterer geschulter Chirurg, der patientenseitig positioniert ist, erforderlich. Die klinischen Ergebnisse bei selektionierten Patienten sind hervorragend. Bisher ist ein Robotersystem klinisch verfügbar. Zukünftig werden weitere, innovative Modifizierungen der Robotersysteme die Akzeptanz der Roboterchirurgie im Rahmen der Herzchirurgie beeinflussen.

Abstract

Robotic techniques are used in cardiac surgery in the subdisciplines of coronary artery bypass and mitral valve surgery as well as for other procedures associated with mitral valve diseases; however, so far such techniques have been restricted to a few highly specialized centers only. A standardized preliminary and continuous training of the operating surgeon is imperative for accurate use of the robot. Appropriate patient selection as well as precise perioperative monitoring are particularly important. Furthermore, a second trained surgeon is required at the operating table on the side of the patient, in addition to the chief operating surgeon at the console. Clinical outcomes of selected patients undergoing robotic procedures are excellent. So far only one robotic system is commercially available. Further modifications and innovations in robotic systems will influence the broader acceptance of robotic surgery in the future.

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Authors and Affiliations

  1. Herzzentrum Leipzig, Universitätsklinik für Herzchirurgie, Strümpellstr. 39, 04289, Leipzig, Deutschland

    Martin Misfeld

  2. Royal Prince Alfred Hospital, Sydney, Australien

    Martin Misfeld &  Tristan D. Yan

Authors
  1. Martin Misfeld
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  2. Tristan D. Yan
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Correspondence to Martin Misfeld.

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Interessenkonflikt

M. Misfeld und T.D. Yan geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Menschen zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.

Additional information

Dieser Beitrag wurde in der Zeitschrift für Herz-, Thorax- und Gefäßchirurgie 4 · 2020;34:221–228, https://doi.org/10.1007/s00398-020-00362-6 erstveröffentlicht. Zweitveröffentlichung mit freundlicher Genehmigung der Autoren.

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Misfeld, M., Yan, T.D. Robotertechniken in der Herzchirurgie. Wien klin Mag 24, 100–107 (2021). https://doi.org/10.1007/s00740-021-00396-y

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  • DOI: https://doi.org/10.1007/s00740-021-00396-y

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