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Timothy P. Martens
Faisal H. Cheema
Deon W. Vigilance
Takushi Kohmoto
Lyall A. Gorenstein
Craig R. Smith, Jr
Michael Argenziano
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Ann Thorac Surg 2005;80:1103-1105
© 2005 The Society of Thoracic Surgeons

Case report

Adhesiolysis is Facilitated by Robotic Technology in Reoperative Cardiac Surgery

Timothy P. Martens, MD * , Jeffrey A. Morgan, MD, Marco M. Hefti, BA, David A. Brunacci, BS, Faisal H. Cheema, MD, Satish K. Kesava, MD, Steve Xydas, MD, Nick C. Dang, MD, Deon W. Vigilance, MD, Takushi Kohmoto, MD, Lyall A. Gorenstein, MD, Craig R. Smith, Jr, MD, Michael Argenziano, MD

Department of Surgery, Columbia University, College of Physicians and Surgeons, New York, New York

Accepted for publication March 8, 2004.

* Address reprint requests to Dr Martens, Columbia University, College of Physicians and Surgeons, 17-415, 630 W 168 St, New York, NY10032; (Email: tpm2102{at}columbia.edu).

Over a 2-year period, 5 patients who required reoperative chest surgery underwent robotic adhesiolysis with the da Vinci (Intuitive, Sunnyvale, CA) system. Resternotomy was performed under direct visualization for coronary revascularization (n = 2) or valve replacement (n = 1). A fourth patient required coronary revascularization after a previous axilloaxillary bypass. The final case involved the preparation of a substernal pathway for a gastric pull-up. In all cases adhesions were taken down without injury to the underlying structures. All grafts were preserved, and all patients recovered uneventfully. Robotic adhesiolysis is a versatile technique that allows careful lysis of adhesions and minimizes the risk of major complication during reoperative chest surgery.






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Copyright © 2005 by The Society of Thoracic Surgeons.