Two-Port Robotic Cardiac Surgery (TROCS) for Atrial Septal Defect (ASD) Using Cross-Arm Technique　– TROCS ASD Repair –

Norihiko Ishikawa; Go Watanabe; Tatsuya Tarui; Ryuta Kiuchi; Hiroshi Ohtake; Shigeyuki Tomita; Kenji Kawachi

doi:10.1253/circj.CJ-15-0678

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Two-Port Robotic Cardiac Surgery (TROCS) for Atrial Septal Defect (ASD) Using Cross-Arm Technique　– TROCS ASD Repair –

Norihiko Ishikawa, Go Watanabe, Tatsuya Tarui, Ryuta Kiuchi, Hiroshi Ohtake, Shigeyuki Tomita, Kenji Kawachi

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Keywords: Atrial septal defect, Congenital heart disease, Surgery, Ventricular fibrillation

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2015 Volume 79 Issue 10 Pages 2271-2273

DOI https://doi.org/10.1253/circj.CJ-15-0678

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Abstract

Background:We successfully performed totally endoscopic atrial septal defect (ASD) repair via 2 ports, and we named this procedure two-port robotic cardiac surgery (TROCS).Methods and Results:A 51-year-old woman with secundum ASD underwent robot-assisted ASD repair under ventricle fibrillation without aortic cross-clamping. Two ports were placed in the right side of the chest, and 1 port was for the robotic endoscope. Two robotic instruments were inserted through another port and crossed while preventing them from colliding.Conclusions:TROCS ASD repair using a cross-arm technique was achieved safely with good clinical results and excellent cosmetic results. (Circ J 2015; 79: 2271–2273)

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