Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
In Japan, the medical fee revision in April 2018 allowed insurance coverage for robot-assisted cardiac surgery for mitral and tricuspid valve plasty. We started robot-assisted mitral valve plasty by da Vinci system in June 2019. The artificial chorda...
Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
In minimally invasive direct coronary artery bypass surgery (MIDCAB), internal mammary artery harvesting is not so easy because of small exposure and difficult maneuver for long distant target vessel. To expose and harvest left internal mammary arter...
Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
Recently, in the field of minimally invasive approach, robotic technology has represented the latest development. Robot-assisted cardiac surgery has advantages against standard minimally invasive cardiac surgery( MICS) in terms of greater visualizati...
Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
Minimally invasive cardiac surgery( MICS) has emerged in 1990s. Nowadays, MICS via mini thoracotomy became popular for valvular heart disease. Robot-assisted cardiac surgery was introduced with extension to MICS. Robot-assisted cardiac surgery for va...
Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
The trend in cardiac surgery is moving toward minimally invasive procedures worldwide. In Japan, robot-assisted cardiac surgery has started simultaneously with the insurance coverage of minimally invasive cardiac surgery in April 2018. Technology inn...
Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
Initial 37 cases of robot-assisted cardiac surgery were reviewed. The early outcomes were favorable with low transfusion rate and no mortality, but some of the very early cases required reoperation after discharge. In our cohort, in terms of aortic c...
Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
Since 2014, we have used the da Vinci surgical system to perform internal thoracic artery harvest in minimally invasive direct coronary artery bypass (MIDCAB), and since 2016, we have also performed robot-assisted cardiac surgery( RACS) for mitral an...
Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
It has been more than 10 years since the introduction of small-incision surgery for cardiac valvular disease. The so-called minimally invasive cardiac surgery (MICS) techniques avoid the need for sternotomy, but they are still not considered standard...
Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
Robot-assisted valve repair refers to an intervention added to conventional minimally invasive cardiac surgery( MICS), which is covered by national insurance since April 2018. However, currently, this procedure is performed only at a few hospitals, w...
Kyobu geka. The Japanese journal of thoracic surgery
Jul 1, 2022
Endoscopic surgery has been introduced as a minimally invasive procedure in other fields. On the other hand, the introduction of surgical robots has made endoscopic surgery possible in cardiac surgery. Coronary artery bypass surgery includes minimall...