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Published on: May 26, 2023
Totally endoscopic robotic ventricular septal defect repair
Changqing Gao1, Ming Yang, Gang Wang
1Department of Cardiovascular Surgery, PLA General Hospital, Beijing, China. gaochq301@yahoo.com
Innovations (Philadelphia, Pa.)
|March 23, 2012
Summary
Totally endoscopic robotic ventricular septal defect (VSD) repair is a novel procedure. This study demonstrates its feasibility and safety in three adult patients, with no complications or need for blood transfusions.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic instrumentation enables totally endoscopic intracardiac procedures.
- Totally endoscopic robotic ventricular septal defect (VSD) repair has not been previously reported.
Purpose of the Study:
- To report the first cases of closed-chest VSD repair using the da Vinci S Surgical System.
Main Methods:
- Three female patients underwent totally endoscopic robotic VSD repair.
- Echocardiography confirmed perimembranous VSD sizes of 6, 8, and 8 mm; one patient also had a patent foramen ovale.
Main Results:
- VSD repair and atrial closure were successfully completed robotically.
- Mean cardiopulmonary bypass and cross-clamp times were 70 and 22 minutes, respectively.
- No blood transfusions were required; patients were discharged after a mean of 5 days with no complications.
Conclusions:
- Totally endoscopic robotic VSD repair is feasible and safe in adult patients.
- This technique offers a minimally invasive approach for VSD treatment.
