About da Vinci® Cardiothoracic Surgery
da Vinci® Surgery - Coronary Bypass (Revascularization) Surgery
When medication, lifestyle changes and other treatments cannot relieve your symptoms due to coronary artery disease (CAD), your doctor may recommend surgery. If you need coronary artery bypass surgery, ask your doctor about minimally invasive da Vinci Surgery.
Why da Vinci Surgery?
With the da Vinci Surgical System,surgeons operate through a few small incisions between your ribs, instead of a large chest incision used in open surgery. As a result, your breastbone is not cut and your ribs are left in place. With da Vinci, surgeons do not need to use a heart-lung machine or stop your heart during surgery.
The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control.
As a result of da Vinci technology, da Vinci Coronary Bypass Surgery offers the following potential benefits over traditional open heart surgery:
- Fewer major complications1
- Less blood loss and fewer transfusions1
- Less time in intensive care unit (ICU)1
- Shorter hospital stay1
- Faster recovery and return to normal activities1
- Higher patient satisfaction1
- Small incisions for minimal scarring
State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.
Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.
Risks & Considerations Related to Coronary Bypass Surgery
Potential risks of coronary artery bypass surgery include:
- Heart attack or stroke
- Heart rhythm problems
- Kidney or lung failure
- Fever and chest pain (together called post-pericardiotomy syndrome)
- Memory loss and/or loss of mental clarity
In addition to the above risks, there are risks related to minimally invasive surgery, including da Vinci Coronary Bypass Revascularization Surgery, such as conversion to open surgery and a chest wound infection which is more likely in patients who are obese, diabetic or have had coronary bypass surgery in the past.1,2
- Poston RS, Tran R, Collins M, Reynolds M, Connerney I, Reicher B, Zimrin D, Griffith BP, Bartlett ST. Comparison of economic and patient outcomes with minimally invasive versus traditional off-pump coronary artery bypass grafting techniques. Ann Surg. 2008 Oct;248(4):638-46.
- National Institutes of Health. Heart bypass surgery – minimally invasive. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/007012.htm
Performance characteristics for conduct of totally endoscopic coronary artery bypass surgery (CABG) have not been fully established. The system should only be used for CABG when there is direct surgical access to the surgical field. Performance of autologous venous coronary artery bypass surgery (CABG) using the da Vinci Surgical System has not been established.
All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/da-vinci-surgery/safety-information.php.
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PN 1002208 Rev B 06/2013