The Evolution of Mitral Valve Surgery: the Future in the Hand of Robots

Abstract

Objective To examine the current literature behind the evolution of mitral valve surgery techniques and their impact on patient outcomes. Methods An electronic literature search among major databases was performed (PubMed, Embase, Scopus, Cochrane, and Google scholar). All the relevant articles were screened and identified to be included in this narrative review. The main outcomes were postoperative morbidity, length of in-hospital stay, and long-term mortality. Results Minimally invasive and robot-assisted approach to mitral valve repair and replacements has shown great potential in improving surgical outcomes when compared against traditional midline sternotomy. Selected patients can benefit from percutaneous mitral valve surgery; however, more evidence is required to ascertain its long-term outcomes. Conclusion Current evidence suggests that robotic and minimal invasive mitral valve surgeries are increasing in practice with satisfactory perioperative and mortality rates. However, long-term data is yet to be published to support current practice.

Robotic coronary artery surgery: Outcomes and pitfalls

“…43 However, currently this has not been tested in CABG and in future could be an avenue to explore. 44,45,46…”

“…The integration of novel force sensors on the trocars should enable surgeons to anticipate and feel the suturing forces and therefore minimize unnecessary pressure on delicate tissues or vessels 43 . However, currently this has not been tested in CABG and in future could be an avenue to explore 44 , 45 , 46 …”

Peri-operative outcomes of mitral valve surgery at Charlotte Maxeke Johannesburg Academic Hospital

“…(3) In South Africa, data on the management and outcomes of mitral valve surgery are limited. (4) Operative mortality in mitral valve replacement surgery is 5% -6% and 1% -2% in mitral valve repair. (5) Complications associated with mitral valve surgery are commonly related to cardiopulmonary…”