Robotic atrial septal defect closure

Şenay, Şahin; Güllü, Ahmet Ümit; Koçyiğit, Muharrem; Değirmencioğlu, Aleks; Karabulut, Hasan; Alhan, Cem

doi:10.1093/mmcts/mmu014

Cited by 8 publications

(17 citation statements)

References 6 publications

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“…The first robotic ASD closure series was published in the early 2000s 7–9,11 . In recent years, robotic‐assisted cardiac surgery has been performed safely and effectively in all types of ASD 7–11,13 . The fact that it is applied in all types of ASD provides superiority to the transcatheter closure method 7,11,13 .…”

Section: Discussionmentioning

confidence: 99%

“…Robotic surgery has become a reasonable and safe alternative to conventional sternotomy and all minimal invasive incisions for ASD closure 7–13 . It provides low mortality and morbidity, high patient comfort, and rapid return to normal life 7–12 . Very small skin incisions in robotic surgery give the patient a superior advantage in cosmetic terms and psychological adaptation after the operation 12 .…”

Section: Introductionmentioning

confidence: 99%

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Transcatheter closure vs totally endoscopic robotic surgery for atrial septal defect closure: A single‐center experience

et al. 2020

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Background: Transcatheter closure is the preferred method for atrial septal defect (ASD) closure. Robotic surgery has become the least invasive technique for ASD closure. Therefore, we sought to evaluate the outcomes in patients who underwent ASD closure with transcatheter or robotic surgery techniques.Methods: A total of 462 patients underwent totally endoscopic robotic (n = 217) or transcatheter ASD closure (n = 245). Demographic data, perioperative data, and outcomes were compared.Results: The mean age was lower in the robotic surgery group than the transcatheter group (31.4 ± 11.8 vs 39.4 ± 13.2 years; P = .001). Ventilation time, intensive care unit (ICU) stay, and hospital stay was significantly lower in the transcatheter group. The postoperative new-onset neurological event was seen in one (0.5%) patient in robotic surgery, and four (1.6%) patients in the transcatheter closure group.New-onset atrial fibrillation was found to be higher in transcatheter closure (two vs seven patients; P = .133) group. Surgical conversion to a larger incision occurred in two patients (1%) in robotic surgery, while two patients (0.5%) underwent emergency median sternotomy due to device embolization to the main pulmonary artery.There was no mortality in both groups. During follow-up, one patient (0.5%) who underwent robotic surgery was reoperated, and two patients (0.8%) who underwent transcatheter procedure required surgical intervention due to device migration and severe residual shunting (P = .635).Conclusion: Both transcatheter and robotic surgery approaches had excellent outcomes but transcatheter closure had shorter hospital and ICU stays. Robotic surgery provides a similar complication risk that can be comparable to the transcatheter approach as well as patient comfort and cosmetic advantage over the other surgical techniques. K E Y W O R D Satrial septal defect, minimally invasive, robotic surgery, transcatheter

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Transcatheter closure vs totally endoscopic robotic surgery for atrial septal defect closure: A single‐center experience

et al. 2020

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“…Standart median sternotomi, lateral torakotomi, anterior torakotomi ve parsiyel sternotomi uygulanan tekniklerdendir. Günümüzde minimal invaziv cerrahi yaklaşımların önem kazanmasıyla video destekli mini torakotomi, robotik cerrahi gibi tamamen torakoskopik metotlar da uygulanmaktadır (7,8). Bunların dışında uygun vakalarda perkütan yaklaşımlar da tercih edilmektedir.…”

Section: Discussionunclassified

Silikon Protez Kullanılarak Rekonstrüktif Meme Cerrahisi Uygulanmış Hastada Minimal İnvaziv Sinüs Venozus Defekti Onarımı

Öztaş¹,

Yetüt²,

Duman³

et al. 2020

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Atriyal septal defekt erişkinde en sık rastlanan doğumsal kalp anomalilerinden biridir. Minimal invaziv cerrahi tekniklerdeki gelişmeler, seçilmiş uygun vakaların bu yöntemle daha yaygın olarak tedavi edilmesini artırmıştır. Sağ anterior torakotomi ile minimal invaziv olarak atriyal septal defekt onarımı güvenilir sonuçları, yüksek hasta memnuniyeti nedeniyle özellikle genç bayan hastalarda ilk sıralarda tercih edilecek yöntemlerden biridir. Biz bu yazıda yaklaşık 3 yıl önce silikon meme protezi ameliyatı olan hastada uyguladığımız minimal invaziv teknik ile sinüs venozus defekti onarımını anlatmaktayız. Mevcut kompleks atrial septal defekt ve cerrahi alanda silikon meme protezi bulunmasına rağmen sağ anterolateral mini torakotomi yaklaşımı sayesinde uygulanan tedavi başarılı ve kozmetik olarak sorunsuz olmuştur.

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“…Since then, the use of robotic systems for minimally invasive surgery has become increasingly popular in Europe [2]. Currently, robotic ASD closure is a feasible and safe technique with a high success and low complication rate [2], [3]. Robotic cardiac surgery-related complications include cardiac arrest, atrial fibrillation, bleeding, renal failure, and vascular complications [5].…”

Section: Discussionmentioning

confidence: 99%

“…A 37F double-lumen endotracheal tube was inserted easily for unilateral mechanical ventilation during surgery. Standard surgical procedure was performed for robotic surgery [3]. There was no pathology in the right lung on direct vision of the surgical field.…”

Section: Case Reportmentioning

confidence: 99%

An unexpected complication of robotic cardiac surgery: Pneumomediastinum

Erol

Kubat

Sicim

et al. 2019

Journal of the Saudi Heart Association

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Pneumomediastinum is a rare entity that is defined as free air in the mediastinal space. A 26-year-old male patient was admitted with pneumomediastinum as an unexpected complication of robotic surgery. Diffuse subcutanous emphysema was observed suddenly on Postoperative Day 3 without respiratory distress. Air trapping into the mediastinum was seen on chest X-ray and computed tomography. The patient was followed in the intensive care unit for 7 days and managed conservatively. Subcutaneous emphysema reduced gradually. In conclusion, although it is a rare condition, pneumomediastinum should be kept in mind as a complication of robotic cardiac surgery.

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Robotic atrial septal defect closure

Cited by 8 publications

References 6 publications

Transcatheter closure vs totally endoscopic robotic surgery for atrial septal defect closure: A single‐center experience

Transcatheter closure vs totally endoscopic robotic surgery for atrial septal defect closure: A single‐center experience

Silikon Protez Kullanılarak Rekonstrüktif Meme Cerrahisi Uygulanmış Hastada Minimal İnvaziv Sinüs Venozus Defekti Onarımı

An unexpected complication of robotic cardiac surgery: Pneumomediastinum

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