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The first case in Jilin! Robot-assisted bypass surgery successfully performed

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2023-07-17 20:53:26902browse

News from Changchun, China Broadcasting Network, July 13 (Trainee reporter Shu Zhen) Recently, Lin Bosong, Director of the Cardiac Surgery Department of Jilin University Third Hospital, led a team to successfully perform the first minimally invasive coronary artery bypass surgery assisted by Da Vinci robots in Jilin Province.

Mr. Zhao, 69, suffered from worsening chest pain, accompanied by radiating pain in his left upper limb and shoulder and back, chest tightness, palpitations, profuse sweating and a sense of dying. He recently visited the Department of Cardiology, Xinmin District, the hospital. The doctor treated Mr. Zhao for emergency coronary artery disease. After angiographic examination, it was recommended to undergo coronary artery bypass grafting. For further treatment, he was transferred to the Cardiac Surgery Department of Jilin University Third Hospital.

The first case in Jilin! Robot-assisted bypass surgery successfully performed

Minimally invasive coronary artery bypass surgery with the assistance of Da Vinci robot (photo provided by CCTV and Jilin University Third Hospital)

Lin Bosong, Director of the Cardiac Surgery Department of Jilin University Third Hospital, led the team to conduct an in-depth discussion on Mr. Zhao’s situation and finally decided to perform minimally invasive coronary artery bypass surgery with the assistance of the Da Vinci robot.

The entire operation adopts the internationally advanced 4th generation da Vinci robot minimally invasive system. Under 10 times magnification and three-dimensional view, the left internal mammary artery is accurately intercepted as the graft material. After the graft graft material is completed, Successfully established a new blood supply channel to the heart and achieved revascularization of the anterior descending artery. There was no blood transfusion during the entire operation, and there was almost no chest drainage after the operation.

Four hours after the operation, the patient was successfully weaned from the ventilator and the tracheal intubation was removed. When he was able to move around on the first day after the operation, the drainage tube was removed. The patient recovered quickly after surgery and was discharged from the hospital five days after surgery.

Lin Baisong introduced that with the assistance of the Da Vinci robot, the 10-fold magnified field of view allows the blood vessels to be clearly displayed in front of the doctor in three dimensions. The doctor only needs to make three minimally invasive holes between the patient's ribs to remove the blood vessels with a diameter of only The 2-mm internal mammary artery was completely freed, and then anastomosis with the anterior descending branch was completed through a 4-cm minimally invasive incision. In the past, bypass surgery required thoracotomy and extracorporeal circulation. With the assistance of robots, only a 4-centimeter incision was made on the chest wall, which greatly reduced surgical trauma and ensured the stability of the chest. The patient recovered quickly and suffered less pain.

In the past two years, the Third Hospital of Jilin University has continued to make breakthroughs in da Vinci minimally invasive surgery. The successful implementation of this case of da Vinci robot-assisted cardiac bypass surgery has made another breakthrough in cardiac surgery diagnosis and treatment technology, providing a great opportunity for the majority of patients. Patients with coronary heart disease are provided with world-class modern technical service support.

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