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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 commands
Scrub nurse
Eye 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
Myths & Misconceptions?
Costs much more than traditional surgery
Is riskier than traditional surgery
Advantages
1. Simpler procedure
2. Minimally invasive
3. Better technique
4. Less painful
5. Reduce bleeding
6. Smaller scar
7. Faster healing
8. Decreased hospital stay
Disadvantages
1. Longer learning period
2. 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 surgery
3.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 positioning
Coordination and team work
Skill
ROBOTIC SURGERIES

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ROBOTIC SURGERIES