机器人手术是一种新兴的微创手术方式，其优势在于更小的创口、更少的疼痛、更短的住院时间、更快的恢复速度及更好的美容效果。目前，机器人心脏手术已经广泛应用于各类心脏疾病的治疗，包括先天性心脏病、心脏瓣膜病、冠心病和心脏肿瘤等，在心脏手术领域已取得了长足的发展，但临床应用落后于其他外科机器人手术，在未来仍有较大的发展空间。

Robotic cardiac surgery is a new minimally invasive approach to heart surgery, which has advantages of smaller scar, less pain, shorter hospital stay, faster recovery and better aesthetics. Nowadays, robotic cardiac surgery has been applied into variety of cardiac diseases, including congenital heart disease, valvular heart disease, coronary heart disease and cardiac tumor, et al. But the development of robotic surgery to heart falls behind other robotic surgeries for now, and there is still a long way to go in the future.

收稿日期：2021-06-16  录用日期：2021-08-11

Received Date: 2021-06-16  Accepted Date: 2021-08-11

基金项目：全机器人心脏手术系列关键技术的研究（CX2019LC117）

Foundation Item: Key Technology Research on Total Robotic Cardiac Surgery (CX2019LC117)

通讯作者：钟前进，Email：zhongqianjin@qq.com

Corresponding Author: ZHONG Qianjin, Email: zhongqianjin@qq.com

引用格式：孙家琪，钟前进 . 机器人心脏外科手术的发展历史和现状 [J]. 机器人外科学杂志（中英文），2021，2（6）：415-420.

Citation: SUN J Q, ZHONG Q J. History and current status of robotic cardiac surgery [J]. Chinese Journal of Robotic Surgery,2021, 2 (6): 415-420.

[1] Carpentier A, Loulmet D, Aupècle B, et al. Computer assisted open heart surgery. First case operated on with success[J]. Comptes Rendus de l Académie des Sciences-Series III-Sciences de la Vie, 1998, 321(5): 437-442.

[2] Chitwood W R Jr, Nifong LW, Elbeery J E, et al. Robotic mitral valve repair: trapezoidal resection and prosthetic annuloplasty with the da Vinci surgical system[J]. J Thorac Cardiovasc Surg, 2000, 120(6): 1171-1172.

[3] Nifong L W, Chitwood W R, Pappas P S, et al. Robotic mitral valve surgery: a United States multicenter trial[J]. J Thorac Cardiovasc Surg, 2005, 129(6): 1395-1404

[4] Hoon K D, Sik J W, Won P J, et al. Efficacy and safety of robotic procedures performed using the da Vinci robotic surgical system at a single institute in Korea: experience with 10000 Cases[J]. Yonsei Medical Journal, 2018, 59(8): 975.

[5] 高长青 , 杨明 , 王刚 , 等 . 全机器人不开胸心脏手术 4 例 [J]. 中华胸心血管外科杂志 , 2007, 23(1): 19-21.

[6] Ishikawa N, Watanabe G, Tomita S, et al. Japan’s First robot-assisted totally endoscopic mitral valve repair with a novel atrial retractor[J]. Artificial Organs, 2010, 33(10): 864-866.

[7] Woo Y J, Ba E A N. Robotic minimally invasive mitral valve reconstruction yields less blood product transfusion and shorter length of stay[J]. Surgery, 2006, 140(2): 263-267.

[8] Chitwood W R, Rodriguez E, Chu W A, et al. Robotic mitral valve repairs in 300 patients: a singlecenter experience[J]. The Journal of Thoracic and Cardiovascular Surgery, 2008, 136(2): 436-441.

[9] Mihaljevic T, Jarrett C M, Gillinov A M, et al. Robotic◆repair of posterior mitral valve prolapse versus conventional approaches: potential realized[J]. The Journal of thoracic and cardiovascular surgery, 2011, 141(1): 72-80.e1-4.

[10] Hawkins R B, Hunter M J, Mullen M M, et al. A propensity matched analysis of robotic, minimally invasive, and conventional mitral valve surgery[J]. Heart, 2018. DOI:10.1136/heartjnl-2018-313129

[11] Torracca L, Ismeno G, Alfieri O. Totally endoscopic computer-enhanced atrial septal defect closure in six patients[J]. Annals of Thoracic Surgery, 2001, 72(4): 1354-1357.

[12] Argenziano M. Totally endoscopic atrial septal defect repair with robotic assistance[J]. Circulation, 2002, 5(3): 294-300.

[13] Suematsu Y, Mora B N, Mihaljevic T, et al. Totally endoscopic robotic-assisted repair of patent ductus arteriosus and vascular ring in children[J]. Annals of Thoracic Surgery, 2005, 80(6): 2309-2313.

[14] GAO C Q, YANG M, WANG G, et al. Totally endoscopic robotic ventricular septal defect repair in the adult[J]. J Thorac Cardiovasc Surg, 2012, 144(6): 1404-1407.

[15] GAO C Q, YANG M, WANG G, et al. Totally endoscopic robotic atrial septal defect repair on the beating heart[J]. Heart Surgery Forum, 2010, 13(3): 155-158.

[16] Loulmet D, Carpentier A, d’Attellis N, et al. Endoscopic coronary artery bypass grafting with the aid of robotic assisted instruments[J]. The Journal of Thoracic and Cardiovascular Surgery, 1999, 118(1): 4-10.

[17] Srivastava S, Ga Da Salli S, Agusala M, et al. Use of bilateral internal thoracic arteries in CABG through lateral thoracotomy with robotic assistance in 150 patients[J]. Annals of Thoracic Surgery, 2006, 81(3): 800-806.

[18] Argenziano M, Katz M, Bonatti J, et al. Results of the prospective multicenter trial of robotically assisted totally endoscopic coronary artery bypass grafting[J]. Annals of Thoracic Surgery, 2006, 81(5): 1666-1675.

[19] Bonaros N, Schachner T, Lehr E, et al. Five hundred cases of robotic totally endoscopic coronary artery bypass grafting: predictors of success and safety[J]. Annals of Thoracic Surgery, 2013, 95(3): 803-812.

[20] Lee J D, Bonaros N, Hong P T, et al. Factors influencing hospital length of stay after robotic totally endoscopic coronary artery bypass grafting[J]. The Annals of Thoracic Surgery, 2013, 95(3): 813-819.

[21] 高长青 , 杨明 , 吴扬 , 等 . 机器人非体外循环冠状 动脉旁路移植与支架置入“杂交”手术治疗多支 冠状动脉病变 [J]. 中华胸心血管外科杂志 , 2011, 27(7): 398-400.

[22] Murphy D A, Miller J S, Langford D A. Robot-assisted endoscopic excision of left atrial myxomas[J]. Journal of Thoracic & Cardiovascular Surgery, 2005, 130(2): 596-597.

[23] Mohammed H, Michael S J. Robotic assisted excision of a left ventricular myxoma[J]. Interact Cardiovasc Thorac Surg, 2012(1)113-114.

[24] Schilling J, Engel A M, Hassan M, et al. Robotic Excision of atrial myxoma[J]. Journal of Cardiac Surgery, 2012, 27(4): 423-426.

[25] Derose J J, Belsley S, Swistel D G, et al. Robotically assisted left ventricular epicardial lead implantation for biventricular pacing: the posterior approach[J]. Annals of Thoracic Surgery, 2004, 77(4): 1472-1474.

[26] Gerosa G, Bianco R, Buja G, et al. Totally endoscopic robotic-guided pulmonary veins ablation: an alternative method for the treatment of atrial fibrillation[J]. European Journal of Cardio-Thoracic Surgery, (2): 450-452.

[27] Nifong L W, Rodriguez E, Chitwood Jr W R. 540 Consecutive robotic mitral valve repairs including concomitant atrial fibrillation cryoablation[J]. Annals of Thoracic Surgery, 2012, 94(1): 38-43.

[28] 李学松 , 樊书菠 , 熊盛炜 , 等 . 国产内窥镜手术机器人系统在肾部分切除术中的初步临床应用 [J]. 中华泌尿外科杂志 , 2021, 42(5): 375-380.