Abstract
ABSTRACTObjective:To evaluate the short and medium-term outcomes of patients undergoing robotic-assisted minimally invasive cardiac surgery.Methods:From March 2010 to March 2013, 21 patients underwent robotic-assisted cardiac surgery. The procedures performed were: mitral valve repair, mitral valve replacement, surgical correction of atrial fibrillation, surgical correction of atrial septal defect, intracardiac tumor resection, totally endoscopic coronary artery bypass surgery and pericardiectomy.Results:The mean age was 48.39±18.05 years. The mean cardiopulmonary bypass time was 151.7±99.97 minutes, and the mean aortic cross-clamp time was 109.94±81.34 minutes. The mean duration of intubation was 7.52±15.2 hours, and 16 (76.2%) patients were extubated in the operating room immediately after the procedure. The mean length of intensive care unit stay was 1.67±1.46 days. There were no conversions to sternotomy. There was no in-hospital death or deaths during the medium-term follow-up. Patients mean follow up time was 684±346 days, ranging from 28 to 1096 days.Conclusion:Robotic-assisted cardiac surgery proved to be feasible, safe and effective and can be applied in the correction of various intra and extracardiac pathologies.
Highlights
Robotic-assisted totally endoscopic cardiac surgery has been performed for more than a decade in Europe and in the United States of America[1,2,3]
The study was approved by the Hospital Israelita Albert Einstein ethics committee under number CEP/Einstein 11/1501, entitled “Einstein Registry of Robotic-assisted Minimally Invasive Cardiovascular Surgery”
Mitral valve repair was associated with epicardial ablation for the correction of atrial fibrillation
Summary
Robotic-assisted totally endoscopic cardiac surgery has been performed for more than a decade in Europe and in the United States of America[1,2,3]. Robotic surgery in cardiology: a safe and effective procedure 297 greater patient satisfaction and earlier return to their social and professional activities in comparison to the conventional open procedures[4]
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