Robotic mitral valve surgery: current limitations and future directions

Gillinov, A. Marc; Suri, Rakesh M.; Mick, Stephanie; Mihaljević, Tomislav

doi:10.21037/acs.2016.03.13

Cited by 23 publications

(15 citation statements)

References 10 publications

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“…10 Relative contraindications to robotic mitral valve surgery include significant left ventricular dysfunction, pulmonary hypertension, and extensive annular calcification. 11 The outcomes, including mortality, of minimally invasive mitral valve surgery appear to be comparable to that of mitral valve surgery with an open sternotomy. 12 In addition to mitral valve repair, the tricuspid valve is sometimes repaired using the robot but often in conjunction with other procedures.…”

Section: Valve Surgerymentioning

confidence: 98%

“…14 However, some authors claim that with increased surgeon experience, operative time can approach that of cardiac surgeries involving open sternotomy. 7,11 In addition to the above limitations, there are other surgical approaches that are even less invasive than robotic surgery. Procedures such as transcatheter aortic valve implantation, where an aortic valve is inserted through a catheter, are excellent options for certain patients and have become more common in recent years.…”

Section: Other Applicationsmentioning

confidence: 99%

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The role of robotic technology in cardiac surgery

Quint

Sivakumar²

2019

UWOMJ

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Minimally invasive surgical techniques have been developed in order to improve patient outcomes and satisfaction. These minimally invasive techniques have been applied to numerous fields, including cardiac surgery. Currently, mitral valve repair and coronary artery bypass grafting are the most common procedures performed robotically. Numerous studies have shown that robotic technology provides similar outcomes to traditional surgery, which is much more invasive. However, there are numerous barriers to performing robotic surgery, including the cost of robotic systems and the steep learning curve associated with these systems. It is predicted that the indications for robotic cardiac surgery will increase as these limitations are addressed.

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Section: Valve Surgerymentioning

confidence: 98%

Section: Other Applicationsmentioning

confidence: 99%

The role of robotic technology in cardiac surgery

Quint

Sivakumar²

2019

UWOMJ

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“…For instance, these are fewer complications as surgical site infections, less pain and blood loss, lower risk of the need for blood transfusion, quicker and easier recovery, smaller and less noticeable scars 2,3 . For the above‐mentioned benefits, robotic tools assisted surgery is already practiced in general surgery 4 and for several procedures, including for instance mitral valve repair/replacement, 5 tumor tissue excision, 6,7 cystectomy 8 and also cosmetic surgery 9 …”

Section: Introductionmentioning

confidence: 99%

Experimental validation of manipulability optimization control of a 7‐DoF serial manipulator for robot‐assisted surgery

Danioni

Mira

et al. 2020

Robotics Computer Surgery

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Purpose Both safety and accuracy are of vital importance for surgical operation procedures. An efficient way to avoid the singularity of the surgical robot concerning safety issues is to maximize its manipulability in robot‐assisted surgery. The goal of this work was to validate a dynamic neural network optimization method for manipulability optimization control of a 7‐degree of freedom (DoF) robot in a surgical operation. Methods Three different paths, a circle, a sinusoid and a spiral were chosen to simulate typical surgical tasks. The dynamic neural network‐based manipulability optimization control was implemented on a 7‐DoF robot manipulator. During the surgical operation procedures, the manipulability of the robot manipulator and the accuracy of the surgical operation are recorded for performance validation. Results By comparison, the dynamic neural network‐based manipulability optimization control achieved optimized manipulability but with a loss of the accuracy of trajectory tracking (the global error was 1 mm compare to the 0.5 mm error of non‐optimized method). Conclusions The method validated in this work achieved optimized manipulability with a loss of error. Future works should be introduced to improve the accuracy of the surgical operation.

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“…Through combining high-resolution, magnified 3-dimensional images with excellent hand-eye coordination systems, the robotics system delivers safe and effective repairs. By eliminating the need for traditional sternotomy, patients experience less pain, quicker recovery, and lower risks [ 23 , 24 ] .…”

Section: Introductionmentioning

confidence: 99%

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

Harky¹,

Kwok²,

Fan³

2020

Braz J Cardiovasc Surg

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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.

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Robotic mitral valve surgery: current limitations and future directions

Cited by 23 publications

References 10 publications

The role of robotic technology in cardiac surgery

The role of robotic technology in cardiac surgery

Experimental validation of manipulability optimization control of a 7‐DoF serial manipulator for robot‐assisted surgery

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

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