Minimal access approach for surgical management of cardiac tumors

Robotic Excision of Atrial Myxoma

“…Follow‐up was 18 months with uneventful postoperative recovery and good cosmetic results. Advances in optics and instrumentation with the da Vinci S Surgical System have allowed for gold‐standard results in other minimally invasive and robotic cardiac surgeries including mitral valve repair and atrial myxoma excision 3–12,24–30 …”

Right Atrial Trans-Septal Approach for Left Atrial Myxomas—Nine-Year Experience

“…We believe, a conservative approach as ours, involving a single incision can be easily extended to these newer techniques. Ravikumar et al 36 and Ko et al 37 have used trans-septal approach with their minimal access techniques and have shown that it is effective, affords excellent exposure and adheres to all the identified surgical principles in successful removal of these tumors. …”

Minimally Invasive Surgery for Cardiac Myxomas using an Upper Hemi-Sternotomy and Biatrial Septal Approach

“…Some researchers have reported better results in younger patients with less preoperative disease. 7 However, despite this, good recovery has been acknowledged using MICS in people over 60-years with a potential role in limiting cardiorespiratory stress in the elderly 9 -further supported by improved NYHA functional class observed in our patients. We believe that our described technique has selected application in younger patients and females for cosmetic benefit, in minimising risk of right ventricular injury in cases of redo-sternotomy, in establishing a stable sternum yielding shorter healing and recovery, in allowing easy conversion to full-length sternotomy, and in older patients for the above reasons.…”

“…5,6 The proposed advantages include: reduced incision length; reduced pain; improved cosmesis; earlier functional recovery; shorter hospital stay; decreased community cost; as well as being safe and efficient. [6][7][8] Heart Lung and Circulation Minimally invasive surgery for cardiac myxomas using an upper hemi-sternotomy and biatrial septal approach 2005;14:255-261…”