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Robotic Cardiac Surgery in Europe: Status 2020
Stepan Cerny1, Wouter Oosterlinck2, Burak Onan3
1Na Homolce Hospital, Prague, Czechia.
Frontiers in Cardiovascular Medicine
|February 7, 2022
Summary
Robotic cardiac surgery in Europe is experiencing rapid growth across diverse procedures. This minimally invasive approach demonstrates favorable clinical outcomes and low conversion rates, confirming its safety and efficacy.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Europe pioneered robotic techniques in cardiac surgery.
- Initial enthusiasm waned but technological advancements have renewed interest.
- Current European activities and outcomes in robot-assisted cardiac surgery are assessed.
Purpose of the Study:
- To evaluate the current status of robotic cardiac surgery in Europe.
- To analyze the types of procedures being performed robotically.
- To assess the clinical outcomes and safety of these procedures.
Main Methods:
- Data collected from an international, anonymized registry.
- 26 European centers with robotic cardiac surgery programs participated.
- Analysis covered a 4-year period (2016-2019).
Main Results:
- A total of 2,563 procedures were performed, with case numbers doubling from 2016 to 2019.
- Coronary bypass grafting (49.4%) and valve surgery (36.9%) were the most common procedures.
- Low rates of conversion (2.2%), revision for bleeding (2.2%), stroke (0.2%), and mortality (1.1%) were observed.
Conclusions:
- Robotic cardiac surgery is rapidly expanding in Europe, encompassing a wide range of operations.
- Low conversion rates and favorable clinical outcomes indicate the safety of these high-tech procedures.
- The findings support the continued adoption and development of robotic cardiac surgery.

