Penn Cardiac Care Newsletter
 

September 2002

Improved Care for Heart Bypass Patients
New Guidelines Suggest More Aggressive Control of Risk Factors
Sleep Apnea and Heart Failure Connected?
Heart Healthy Recipe: Poached Salmon with Spinach

Improved Care for Heart Bypass Patients

Minimally invasive surgical techniques are now widely used to provide patients with less pain and faster recovery time. Limitations in surgical equipment have prohibited their use during heart bypass surgery -- until now.

The advancement of computerized robotic technology is one of the most exciting breakthroughs in surgery to date, enabling surgeons to perform complete, bypass surgery less invasively. Penn Cardiac Care at the University of Pennsylvania Medical Center is proud to be the only hospital in Philadelphia and one of only 12 in the nation invited to participate in a study to determine the effectiveness of this revolutionary procedure. “Penn’s investment in the robotic system and in the extensive training of our surgical and nursing team was driven by the potential to improve patient comfort and enhance our expertise,” says Timothy J. Gardner, MD, chief of cardiac surgery for the University of Pennsylvania Health System.

Y. Joseph Woo, MD, director of the minimally invasive and robotic cardiac surgery program at Penn is one of the nation’s few surgeons trained to use the robotic system for bypass surgery. A wide range of surgical options, from traditional, open-heart surgery to less invasive, robotic surgery is available at Penn. Each bypass procedure is customized to meet the patient’s individual needs and condition.

The traditional approach requires surgeons to create an incision in the patient’s chest. The robot is equipped with two small instrument arms and a tiny camera, which enables surgeons to operate through tiny incisions. “By virtually transporting the surgeon’s eyes and hands into the patient’s body, the robotic system allows the surgeon to perform complex heart surgery without ever having to open the patient’s chest,” explains Dr. Woo.

How Surgical Robotics Works
In the operating room, one surgeon controls the robotic system, while a second surgeon works alongside the patient, making the tiny chest incisions for the robotic arms and camera. With the high-resolution, three-dimensional camera system, the operating surgeon has a full view of the patient’s heart and can perform the bypass operation with the multi-jointed, robotic arms. This minimally invasive approach results in less trauma, blood loss, pain, scarring, and lower risk of infection, while improving recovery time.

In addition to bypass procedures, the robotic system will soon be able to assist with heart valve operations. The full impact of surgical robotics may not be realized for another two or three years, but future applications may include the treatment of heart rhythm disturbances, heart failure and other conditions. Dr. Gardner noted, “As demonstrated by our new robotic program, Penn Cardiac Care is committed to providing the most comprehensive, technologically-advanced cardiac care in the region and will continue to pursue of similar developments that hold great promise for both patients and surgeons alike.”

 


 

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