Long-term results after robotically assisted coronary bypass surgery

Abstract

Background: Robotically-assisted coronary bypass grafting (CABG) was introduced in 1998 and dedicated centers have continuously applied and developed this minimally invasive method of coronary bypass surgery.While short-term results are relatively well published, data on long-term outcome are limited. In this literature review, we assessed the outcomes after robotic CABG following the first postoperative year. Methods:We searched PubMed for articles containing the terms "robotic" or "robotically assisted" and "coronary bypass". A total of 11 papers contained long-term results. We specifically investigated survival, graft patency, freedom from angina and re-intervention, as well as freedom from major adverse cardiac and cerebrovascular events (MACCE).Results: Five-year survival after robotic CABG was consistently consistently greater than 90% and graft patency between 3 and 5 years was reported to be above 90%. Fifteen percent to 26% of patients reexperienced angina at 3 to 5 years postoperatively. Long-term freedom from re-intervention reached the range and the 5-year freedom from MACCE rate was approximately 75%.Conclusions: According to data in the literature, long-term results after CABG carried out with the assistance of a surgical robot appear to be in line with results achieved after conventional CABG.

The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights from 2019

“…87 A second systematic review (11 trials) has evaluated clinical outcomes for robotic coronary artery bypass beyond the perioperative period. 88 The 5-year survival was consistently above 90% with a graft patency greater than 90% between 3 and 5 years. The risks of major adverse cerebrovascular and cardiac events were below 25% at 5 years.…”

Coronary revascularization in robotic cardiac surgery

“…This procedure is a safe alternative to off-pump sternotomy operations. [8] In long-term follow-up, graft patency has shown comparable results to normal operations. [8,16] Robotic instruments and ports are removed after the isolated left ITA or bilateral ITA is removed and transected.…”

“…[8] In long-term follow-up, graft patency has shown comparable results to normal operations. [8,16] Robotic instruments and ports are removed after the isolated left ITA or bilateral ITA is removed and transected. Left anterior mini-thoracotomy is performed along the fourth intercostal space starting from the lateral side of the sternum with 5 to 10 cm in length.…”

“…In the beginning of the 2000s, left internal thoracic artery harvesting for roboticassisted coronary revascularization operations and total endoscopic mitral valve operations have been successfully performed in increasing numbers around the world with the widespread use of the da Vinci telemanipulation system. [8][9][10][11][12][13] The first use of endoscopic systems dates back to the early 1980s ( Table 1). [10] Since then, systems can be classified into two main groups including prototypes and improved systems.…”

“…[2,7] Since then, minimally invasive and robotic surgical techniques and cardiac catheterization procedures have been used more frequently. [8] In Turkey, the first robotic heart surgery program was initiated at Florence Nightingale Hospital in Istanbul, Turkey under the leadership of Prof. Belhhan Akpınar, MD. This program is also the first robotic endoscopic surgery program in Turkey.…”