Telesurgical evaluation of stable thoracic trauma patients: a feasibility study
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : P. D. Bhatia D. A. Bottoni R. A. Malthaner
- چاپ و سال / کشور: 2011
Description
Background We evaluated a robotic telesurgical platform in managing thoracic trauma in an animal model. Study design The da Vinci robot was used to evaluate and treat a random number of blinded injuries in ten porcine thoraces. Results Ninety-five percent of injuries were correctly identified. The median survey time was 20.5 min (range 16–63 min). The mean time to repair lung lacerations was 19.8 min (range 14–27.5 min) and to evacuate the hemothoraces, it was 5.3 min (range 4.5–6.5 min). Diaphragmatic lacerations required repositioning of the ports and the robot. Only two out of five lacerations were successfully repaired (mean time 38.8 min, range 32.5–45 min). All aortic injuries were correctly identified. One subject died of a pre-existing pneumonia. Conclusions A robotic telesurgical approach to the evaluation of stable thoracic trauma patients is safe and feasible in a porcine model. Diaphragmatic injuries can be repaired but require repositioning of the robo
Eur J Trauma Emerg Surg (2011) 37:297–303 DOI 10.1007/s00068-011-0094-5 Received: 31 January 2011 / Accepted: 4 March 2011 / Published online: 25 March 2011
