Robotic repair of atrial septal defect with partial pulmonary venous return anomaly: Our 5 year experience

Kadan, Murat; Erol, Gökhan; Kubat, Emre; Ince, Mehmet; Akyol, Furkan Burak; Karabacak, Kubilay; Doğancı, Suat; Yıldırım, Vedat; Bolcal, Cengiz; Demirkılıç, Ufuk

doi:10.1002/rcs.2395

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…The DaVinci™ Robotic System enables the surgeon to visualize the surgical field with three‐dimensional, 10‐times magnified high‐definition visualization. In addition to the excellent surgical vision, it provides a great advantage over both conventional surgery and minimally invasive surgery with the tremor‐free 540°movements ability of the instruments 13 . The use of long‐shaft surgical instruments in the beating heart in minimally invasive cases is technically challenging.…”

Section: Discussionmentioning

confidence: 99%

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Robotic‐assisted beating heart mitral valve surgery: Preliminary report

Bolcal

Kadan

Erol

et al. 2022

Journal of Cardiac Surgery

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Introduction Robotic mitral valve surgery is a challenging issue, particularly in patients who are not suitable for aortic cross‐clamping. In this study, we aimed to determine the feasibility and benefits of robotic, beating heart mitral valve surgery. Methods From February 2019 to February 2022, 17 patients underwent robotic beating heart mitral valve surgery. Fourteen of the patients had previous cardiac surgery. The mean age was 58.1 ± 10.3. Dense periaortic adhesions, heavily calcified aorta, and low ejection fraction were retained as indications for beating heart surgery. Results Mitral valve replacement was performed in 14 patients. Mitral ring annuloplasty was performed in two patients with low ejection fraction (EF). A severe paravalvular leak was repaired in one patient. Additional tricuspid annuloplasties were performed in three patients. Cardiopulmonary bypass time were 185.6 ± 55 min. There were no cases of conversion to sternotomy or thoracotomy. No cerebrovascular event occurred in the follow‐up. One patient died as a result of secondary hepatorenal syndrome and multiorgan failure. Conclusions Robotic beating heart mitral valve surgery is a feasible and effective technique with favorable early and mid‐term results, especially in patients who are not suitable for aortic cross‐clamping, secondary to periaortic adhesions, severe aortic calcifications, and low ejection fraction.

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Section: Discussionmentioning

confidence: 99%

“…In addition to the excellent surgical vision, it provides a great advantage over both conventional surgery and minimally invasive surgery with the tremor-free 540°movements ability of the instruments. 13 The use of long-shaft surgical instru-…”

Section: Noncross Clamping (Ncc) Techniques May Be An Alternative Tomentioning

confidence: 99%

Robotic‐assisted beating heart mitral valve surgery: Preliminary report

Bolcal

Kadan

Erol

et al. 2022

Journal of Cardiac Surgery

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Robotic-Assisted Solutions for Invasive Cardiology, Cardiac Surgery and Routine On-Ward Tasks: A Narrative Review

Koulaouzidis,

Charisopoulou,

Bomba

et al. 2023

JCDD

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Robots are defined as programmable machines that can perform specified tasks. Medical robots are emerging solutions in the field of cardiology leveraging recent technological innovations of control systems, sensors, actuators, and imaging modalities. Robotic platforms are successfully applied for percutaneous coronary intervention, invasive cardiac electrophysiology procedures as well as surgical operations including minimally invasive aortic and mitral valve repair, coronary artery bypass procedures, and structural heart diseases. Furthermore, machines are used as staff-assisting tools to support nurses with repetitive clinical duties i.e., food delivery. High precision and resolution allow for excellent maneuverability, enabling the performance of medical procedures in challenging anatomies that are difficult or impossible using conventional approaches. Moreover, robot-assisted techniques protect operators from occupational hazards, reducing exposure to ionizing radiation, and limiting risk of orthopedic injuries. Novel automatic systems provide advantages for patients, ensuring device stability with optimized utilization of fluoroscopy. The acceptance of robotic technology among healthcare providers as well as patients paves the way for widespread clinical application in the field of cardiovascular medicine. However, incorporation of robotic systems is associated with some disadvantages including high costs of installation and expensive disposable instrumentations, the need for large operating room space, and the necessity of dedicated training for operators due to the challenging learning curve of robotic-assisted interventional systems.

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Robotic repair of atrial septal defect with partial pulmonary venous return anomaly: Our 5 year experience

Cited by 2 publications

References 17 publications

Robotic‐assisted beating heart mitral valve surgery: Preliminary report

Robotic‐assisted beating heart mitral valve surgery: Preliminary report

Robotic-Assisted Solutions for Invasive Cardiology, Cardiac Surgery and Routine On-Ward Tasks: A Narrative Review

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