Robotic Skeletonized Internal Thoracic Artery Harvesting: The Sliding Fascia Technique |
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Authors: | Norihiko Ishikawa Go Watanabe Shigeyuki Tomita Teruaki Ushijima Shojiro Yamaguchi Satoru Nishida Yujiro Kikuchi Kenji Kawachi |
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Affiliation: | 1. Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, and;2. Department of Cardiac Surgery, Tokyo Medical University, Tokyo, Japan |
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Abstract: | Robotic skeletonizing and harvesting of the internal thoracic artery, using the da Vinci surgical system, has a number of advantages over robotic pediculed ITA harvesting. The advantages include greater blood flow, a longer conduit, and less bleeding. The technique is facilitated by use of the EndoWrist spatula cautery and fine tissue forceps (Intuitive Surgical, Inc., Sunnyvale, CA, USA). How the technique is performed is described in this report. |
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Keywords: | Internal thoracic artery Harvesting Coronary artery bypass grafting Sliding fascia technique |
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