Totally robotic atrial septal defect closure: 7-year single-institution experience and follow-up

Xiao, Chen; Gao, Changqing; Yang, Ming; Wang, Gang; Wu, Yaling; Wang, Jiali; Wang, Rong; Yao, Mengfei

doi:10.1093/icvts/ivu263

Cited by 51 publications

(66 citation statements)

References 13 publications

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“…Patients had a shorter length of hospital stay and no documented complications, which is in accordance with the literature (21). The less common procedures in this series also benefited from robotic assistance.…”

Section: Discussionsupporting

confidence: 87%

Robotic cardiac surgery in Brazil

Poffo

Toschi

Pope

et al. 2017

Ann. Cardiothorac. Surg.

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Background: Brazil, the largest country and economy in South America, is a major driving force behind the development of new medical technologies in the region. Robotic cardiac surgery (RCS) has been evolving rapidly since 2010, when the first surgery using the DaVinci ® robotic system was performed in LatinAmerica. The aim of this article is to evaluate short and mid-term results in patients undergoing robotic cardiac surgery in Brazil.Methods: From March 2010 to December 2015, 39 consecutive patients underwent robotic cardiac surgery. Twenty-seven patients were male (69.2%), with the mean age of 51.3±17.9 years. Participants had a mean ejection fraction of 62±5%. The procedures included in this study were mitral valve surgery, surgical treatment of atrial fibrillation, atrial septal defect closure, resection of intra-cardiac tumors, totally endoscopic coronary artery bypass and pericardiectomy.Results: The mean time spent on cardiopulmonary bypass (CPB) during RCS was 154.9±94.2 minutes and the mean aortic cross-clamp time was 114.48±75.66 minutes. Thirty-two patients (82%) were extubated in the operating room immediately after surgery. The median intensive care unit (ICU) length of stay was 1 day (ranging from 0 to 25) and the median hospital length of stay was 5 days (ranging from 3 to 25). For each type of procedure, endpoints were individually reported. There were no conversions to sternotomy and no intra-operative complications. Patient follow-up was complete in 100% of the participants, with two early deaths unrelated to the procedures and no re-operations at mid-term.Conclusions: Despite the heterogeneity of this series, RCS appears to be feasible, safe and effective when used for the correction of various intra-and extra-cardiac pathologies. Adopting the robotic system has been a challenge in Brazil, where its limited clinical application may be related to the lack of specific training and the high cost of technology.

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Section: Discussionsupporting

confidence: 87%

Robotic cardiac surgery in Brazil

Poffo

Toschi

Pope

et al. 2017

Ann. Cardiothorac. Surg.

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“…[4][5][6][7] Surgical ASD closure is traditionally performed using sternotomy or thoracotomy incisions. Majdalany et al [2] reported that adult patients with Down syndrome could undergo cardiac surgery with a low risk of mortality and acceptable morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…As an alternative approach, robotic surgery can be an alternative option with a negligible operative risk, low morbidity, and early return to daily activities in Down syndrome. [4][5][6][7] …”

Section: Discussionmentioning

confidence: 99%

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Totally endoscopic robotic atrial septal defect closure in an adult with Down syndrome

Onan¹

2017

Turk Gogus Kalp Dama

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“…With the introduction of these advances, cosmetic and functional satisfaction with surgical outcomes have become more important. [1] To date, many different techniques have been described for cosmetic concerns such as full sternotomy with limited skin incision, [2] right anterolateral thoracotomy, [3,4] posterolateral thoracotomy, [5] robotic procedures, [6] a trans-xiphoid approach without a sternotomy [7] or different portaccess cardiac surgery. [8] Although cannulation of the femoral artery is the preferred method, ascending aortic cannulation is more advantageous due to the safety and cosmesis.…”

Section: Cite This Article Asmentioning

confidence: 99%

Atrial septal defect closure via right mini-thoracotomy: Our single center experience

Taşoğlu¹

2017

Turk Gogus Kalp Dama

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ÖZAmaç: Bu yazıda santral kanülasyon ve sağ minitorakotomi ile atriyal septal defekt tamiri deneyimimiz sunuldu.Ça lış ma pla nı: Ocak 2013 -Haziran 2016 tarihleri arasında, toplam 148 hastada (93 kadın, 55 erkek; ort. yaş 15.7 yıl; dağılım 1.5-50 yıl) atriyal septal defektler sağ minitorakotomi ile kapatıldı. Sağ minitorakotomi insizyon yerine hastaların yaşı ve cinsiyetine göre karar verildi. Tüm hastalarda santral aortik ve bikaval kanülasyon uygulandı. Cilt insizyonu 13 yaş altı çocuklarda 5±1 cm, 13 yaş üstü çocuklarda 6±1.5 cm ve yetişkinlerde 7.5 cm uzunluğunda idi. Atriyal septal defektler tüm hastalarda sağ minitorakotomi ile başarıyla kapatıldı (3 triküspid yetmezliği, 17 parsiyel anormal pulmoner venöz dönüş anomalisi ve 2 Scimitar sendromu). Bul gu lar:Hiçbir hastada mortalite izlenmedi. Ameliyat sırasında acil sternotomi veya femoral kanülasyon ihtiyacı olmadı. Ortalama kardiyopulmoner baypas süresi 38±8.2 dk. iken, ortalama aortik krosklemp süresi 16±3.8 dk. ve ortalama ameliyat süresi 124±11.3 dk. idi. Ortalama yoğun bakımda kalış süresi 22 saat ve hastane kalış süresi 4 ila 6 gün idi. Dört hastada (%3.25) ekokardiyografide hemodinamik olarak hemodinamik açıdan önemsiz rezidüel atriyal septal defekt saptandı.So nuç: Atriyal septal defektlerin düzeltilmesinde submammaryan insizyon ile birlikte sağ minitorakotominin iyi estetik sonuçlar ile birlikte güvenli ve etkili bir teknik olduğu düşünülmektedir.Anah tar söz cük ler: Atriyal septal defekt; doğuştan kalp hastalığı; estetik; minimal invaziv. ABSTRACTBackground:In this article, we report our experience with repair of atrial septal defects through central cannulation and a right mini-thoracotomy.

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Totally robotic atrial septal defect closure: 7-year single-institution experience and follow-up

Abstract: ASD can be performed safely and effectively on an arrested or beating heart with the assistance of robotic technology. This totally endoscopic approach represents an option for patients seeking a reliable, minimally invasive ASD repair with an excellent long-term result.

Cited by 51 publications

References 13 publications

Robotic cardiac surgery in Brazil

Robotic cardiac surgery in Brazil

Totally endoscopic robotic atrial septal defect closure in an adult with Down syndrome

Atrial septal defect closure via right mini-thoracotomy: Our single center experience

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