Robotic repair of partial anomalous pulmonary venous connection: the initial experience and technical details

Onan, Burak; Ünal, Aydın; Kadiroğulları, Ersin; Onan, Ismihan Selen; Şen, Onur; Kahraman, Zeynep

doi:10.1007/s11701-019-00943-0

Cited by 9 publications

(27 citation statements)

References 19 publications

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“…The patients were placed in the supine position with the right chest elevated and external defibrillation pads were placed 4‐6 . The right internal jugular vein, the right femoral artery and vein were cannulated for CPB.…”

Section: Methodsmentioning

confidence: 99%

“…Robotically‐assisted cardiac surgery has been increasingly used approach to treat a variety of complex cardiac pathologies in adults 1‐11 . With innovative techniques, robotics is added value in heart surgery and complementary to catheter‐based interventions 27 .…”

Section: Commentsmentioning

confidence: 99%

“…Robotic‐assisted cardiac surgery has become a commonly used minimally invasive approach for mitral valve disease and atrial septal defects over the last two decades 1‐11 . Totally endoscopic robotic atrial septal defect (ASD) repair remains a highly complex procedure, which requires experience with several nonroutine operative steps, such as airway management and set‐up.…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, right‐sided unilateral pulmonary edema developed in several patients. With the goal of providing better outcomes, the studies and alternative techniques in minimally invasive cardiac surgery were reviewed 1‐26 . The literature on robotic cardiac surgery presented no recommendations about the use of SL endotracheal tubes without lung isolation.…”

Section: Introductionmentioning

confidence: 99%

“…During these procedures, minithoracotomy was performed first, then the lungs were deflated after CPB initiation and operations were done. Similarly, we applied this technique in robotic cardiac procedures using SL endotracheal intubation without lung isolation 4‐9 . We hypothesized that difficulties of intubation, procedural times, and potential complications might be reduced using traditional SL intubation, rather than more complex techniques of lung isolation.…”

Section: Introductionmentioning

confidence: 99%

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Robotic‐assisted cardiac surgery without lung isolation utilizing single‐lumen endotracheal tube intubation

et al. 2020

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Objectives This study assessed the feasibility and outcomes of performing robotic cardiac surgery without lung isolation using single‐lumen (SL) endotracheal tube intubation. Methods Between 2013 and 2017, 132 patients underwent robotically‐assisted atrial septal defect closure. A retrospective analysis was performed of 23 patients (11 males, mean age 30.9 ± 5 years) who underwent robotic surgery with double‐lumen (DL) endotracheal tube intubation (group 1) compared with 109 patients (57 males, mean age 32.4 ± 7.5 years) undergoing the same procedure with SL endotracheal intubation (group 2). The patient groups were compared in terms of demographic characteristics, operative data, and complications. The technical feasibility of the robotic procedure without lung isolation was evaluated. Results There were no mortality, intraoperative complication, and conversion. Mean total anesthesia time was significantly decreased in the SL intubation group (238.3 ± 22.4 vs 227.2 ± 21.2 minutes; P = .025). First‐pass intubation success was significantly higher in the SL intubation group (17 [73.9%] vs 98 [89.9%] patients; P = .032). Mean ventilation time (10.9 ± 5.3 hours), intensive care unit stay (16.8 ± 10.1 hours), and the length of hospital stay (3.8 ± 1.2 days) was significantly decreased in patients with SL tube (P < .05). Unilateral reexpansion pulmonary edema was observed in five (21.7%) patients with DL tube, whereas no patient with SL tube had this complication. Conclusions SL endotracheal tube intubation without lung isolation is a feasible and safe airway alternative in robotic cardiac procedures. This approach resulted in shorter anesthesia time, ventilation time and the length of hospital stay. Port placement and robotic set‐up can be uneventfully performed without lung isolation.

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Section: Methodsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Robotic‐assisted cardiac surgery without lung isolation utilizing single‐lumen endotracheal tube intubation

et al. 2020

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

Kadan

Erol

Kubat

et al. 2022

Robotics Computer Surgery

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Introduction: Partial pulmonary venous return anomalies (PPVRA) were not considered as a good candidate for robotic surgery in early time of robotic cardiac surgery. In this study, we present our experience in patients undergoing robotic atrial septal defect (ASD) and PPVRA surgery.Methods: Between November 2014 and January 2020, data of 21 patients underwent robotic ASD with PPVRA was collected. Inclusion criterion was presence of right-sided PPVRA with ASD. All operations were performed robotically. Results:The mean age of patients was 26.7 � 10.3 years. Seventeen patients (81%) had superior-caval ASD with supracardiac PPVRA and double-patch technique was used. Four patients had inferior-caval ASD with intracardiac PPVRA and singlepatch technique was preferred. Cross-clamp time and cardiopulmonary bypass time were 92.8 � 29.6 and 127.8 � 38.1, respectively. There was no mortality. One patient had atrioventricular-block and required pacemaker. Conclusion:Robotic repair of ASD with PPVRA is feasible and effective method as an alternative to conventional surgery.

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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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Robotic repair of partial anomalous pulmonary venous connection: the initial experience and technical details

Cited by 9 publications

References 19 publications

Robotic‐assisted cardiac surgery without lung isolation utilizing single‐lumen endotracheal tube intubation

Robotic‐assisted cardiac surgery without lung isolation utilizing single‐lumen endotracheal tube intubation

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

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

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