Robot-Assisted Cardiac Procedures
by Krisha McCoy, MS
A doctor guides robotic arms to do surgery on the heart. The surgery is done through several tiny keyhole incisions.
Reasons for Procedure TOP
Robot-assisted cardiac procedures are done to treat a variety of conditions:
Benefits of robot-assisted cardiac procedures may include:
Possible Complications TOP
Complications are rare, but no procedure is completely free of risk. If you are planning to have a robot-assisted cardiac procedure, your doctor will review a list of possible complications, which may include:
Some factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the surgery.
What to Expect TOP
Prior to Procedure
Depending on the reason for your surgery, your doctor may do the following:
Leading up to the procedure:
There are two options for anesthesia:
Description of the Procedure
Several keyhole openings will be cut in the spaces between the ribs. Next, a small camera will be passed through one of the incisions. This small camera is called an endoscope. It will light, magnify, and project an image of the organs onto a monitor. The endoscope will be attached to one of the robotic arms. The other arms will hold instruments for grasping, cutting, dissecting, and suturing. These may include:
While sitting at a console near the operating table, the doctor will use lenses to look at a magnified 3D image of the inside of the chest. Another doctor will stay by the operating table and adjust the camera and instruments. The robotic arms and tools will be guided with joystick-like controls and foot pedals. After the instruments are removed, incisions will be closed with sutures or staples.
Immediately After Procedure
After the procedure, you will be:
How Long Will It Take?
Usually 1-4 hours, depending on the procedure
How Much Will It Hurt?
You will have pain and soreness during recovery. Ask your doctor about pain medicine.
Average Hospital Stay
This procedure is done in a hospital setting. The usual length of stay depends on the procedure you had done. Your doctor may need to keep you longer if you have any problems.
When you return home, do the following to help ensure a smooth recovery:
Call Your Doctor TOP
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
American Heart Association
National Heart, Lung, and Blood Institute
Canadian Cardiovascular Society
About minimally invasive and robotic cardiac surgery. Columbia University Medical Center, Department of Surgery website. Available at: http://www.columbiasurgery.org/pat/mirobotic/procedures.html . Accessed July 25, 2013.
Atrial septic defect repair. Inova Health System website. Available at: http://www.inova.o... . Accessed July 25, 2013.
Mitral valve repair. Society of Thoracic Surgeons website. Available at: http://www.sts.org... . Accessed July 25, 2013.
Robot-assisted heart surgery: how it works. Cleveland Clinic website. Available at: http://my.clevelan... . Accessed July 25, 2013.
Last reviewed July 2013 by Marcin Chwistek, MD; Michael Woods, MD
Last Updated: 5/11/2013