This document discusses the history and current state of robotic surgery for cardio-thoracic conditions. It begins with the first surgical robot used in Canada in 1983 and describes early robotic systems from 1985 onward. It then explains key parts of the current Da Vinci surgical system and compares traditional laparoscopic surgery. The document lists perceived myths about robotic surgery and advantages such as smaller incisions and faster recovery. Potential disadvantages include longer learning periods and costs. It details several types of heart surgeries now performed robotically and the role of nurses in robotic surgery education and assistance.

1. ROBOTIC SURGERY IN CARDIO-
THORACIC CONDITIONS

2. 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

3. On a cadaver ..

4. 1985, PUMA 560 –Brain biopsy using CT
guidance

5. Contd…
• 1988,PROBOT,Imperial college,London-
prostatic surgery
• 1992,ROBODOC,Integrated surgical systems
• Da Vinci surgical system
• AESOP & ZEUS robotic surgical systems

6. Da vinci surgical system -parts

7. Comparision of traditional laproscopic
surgery to Da vinci robotic surgery

8. Surgeons console

10. Small incisions

12. Myths & Misconceptions?
Costs much more than traditional surgery
Is riskier than traditional surgery

13. 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

14. 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

15. TYPES OF ROBOTICALLY ASSISTED
HEART SURGERIES
1.Mitral valve repair and replacement surgery

16. 2.Tricuspid valve repair and
replacement surgery
3.combined both the valves

17. Coronary artery by pass surgey

19. ASD repair

20. PFO repair

21. • Removal of intra cardiac tumors
• Robot assisted thymectomy
• Robotic lung lobectomy/wedge resection
• Carotid artery disease

22. Role of a nurse in robotic surgery
• Preoperatively-educator
• Intraoperatively-
proper positioning
Coordination and team work
Skill