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Video Spotlight - Using Robots And Robotic Processes For Mitral Valve Repair Results In Minimally Invasive Procedures
 Mitral Valve Repair Video Introduction: The USC Medical Center has made clinical use of the da Vinci Surgical Robotic System to perform minimally-invasive cardiac surgical operations. Traditionally, cardiac surgery is performed through a sternotomy, a large incision extending down the center of the breastbone, providing access to the heart. The disfigurement and pain associated with this extensive incision has been a longstanding but heretofore acceptable part of cardiac surgery.
Manufactured by Intuitive Surgical, Inc., based in Sunnyvale, California, the da Vinci system is currently the most technologically advanced surgical robotic system in the world and is designed to perform complex operations through incisions that are much smaller and less traumatic than those used with traditional surgical approaches. There is evidence to suggest that, compared to patients undergoing standard open-chest cardiac operations, this minimally-invasive approach may translate into:
- less pain
- better wound cosmesis
- fewer wound complications
- shorter hospital stays
- shorter recovery time
To see a movie showing the mitral valve repair video using robots and robotic processees, please click the image of Dr. Vaughn Starnes (USC Medical Center) below:
To See Video Of A Mitral Valve Repair Using Robots and Robotic
Processes, Please Click The Image Of Dr. Vaughn Starnes (above)
THE INTUITIVE DA VINCI ROBOTIC SYSTEM
The da Vinci robotic system is comprised of four principal components: a surgeon console, a computerized control system, two instrument "arms," and a fiberoptic camera. The surgeon sits at the console and views the heart in three-dimensions through the InSiteTM fiberoptic stereoscopic camera system while manipulating the instinctive operating controls.The surgeon's hand motions are relayed to a computer processor, which digitizes and relays them to the fine instrument tips placed into the chest cavity through small 1 cm port incisions. This computerized robotic system enhances the surgeon's ability to perform minimally invasive cardiac surgery in several ways. First, the computer interface permits the accurate translation of the surgeon's hand motions to a dexterous endoscopic "wrist" (EndoWristTM) placed within the chest cavity, conferring much higher degrees of freedom and precision than could be achieved with traditional hand-operated instruments. Second, the da Vinci's advanced two-camera stereoscopic optics provides unprecedented magnified, high-definition, full-color images of the heart and its structures in three-dimensions. This visualization provides much greater detail of the heart than is generally possible with the surgeon's eye. Since the first da Vinci operation was performed in 1999, more than 300 robotic mitral valve repair procedures and 150 atrial septal defect closures have been performed successfully in the United States and Europe.
ROBOTIC MITRAL VALVE REPAIR
The da Vinci robot's fine instrument tips allows the surgeon to project a mechanical wrist into the chest through very small incisions.
The da Vinci Surgical Robotic System for mitral valve repair is now available at The Johns Hopkins Hospital. Mitral valve repair is one of the first cardiac surgical operations performed with the da Vinci system and for which FDA approval was obtained. Pioneered in Europe and further refined in the United States, repair of leaking mitral valves due to myxomatous disease, chordal rupture, or annular dilatation, exploits the technical advantages provided by the da Vinci system. The mitral valve can be accessed by a small 6 to 8 cm right thoracotomy and two 1 cm instrument ports. Excellent visualization of the mitral valve with the da Vinci InSiteTM robotic camera system is usually obtained, greatly facilitating its repair. Posterior quadrangular resections and/or "sliding-plasty" repairs are generally performed.
CLICK BELOW TO LEARN MORE ABOUT HEART VALVE SURGERY:
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"Dr. Starnes is a heart valve surgeon guru. Vaughn Starnes performed my
Ross Procedure in 2005. I am
blessed to have had him operate
on me at USC Medical Center in Los
Angeles!"
Adam Pick, Author of "The Patient's
Guide To Heart Valve Surgery"
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