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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Multi-spectrum robotic cardiac surgery: Early outcomes.

Husam H Balkhy1, Sarah Nisivaco1, Gianluca Torregrossa1

  • 1Department of Cardiothoracic Surgery, University of Chicago Medicine, Chicago, Ill.

JTCVS Techniques
|June 17, 2022
PubMed
Summary

Robotic cardiac surgery, including totally endoscopic coronary artery bypass and intracardiac procedures, demonstrated excellent early outcomes in 1103 patients. This minimally invasive approach offers a safe alternative with low mortality and short hospital stays.

Keywords:
EF, ejection fractionICU, intensive care unitITA, internal thoracic arteryLAA, left atrial appendageLOS, length of stayMV, mitral valvePCI, percutaneous coronary interventionSTS, Society of Thoracic SurgeonsTECABTECAB, totally endoscopic coronary artery bypassepicardialintracardiacminimally invasivemulti-spectrumrobotic cardiac surgeryvalve repair/replacement

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • The institution established a robotic cardiac surgery program in 2013.
  • An experienced team is crucial for program success.

Purpose of the Study:

  • To analyze the early outcomes of robotic-assisted cardiac surgeries.
  • To evaluate the safety and efficacy of a totally endoscopic robotic approach.

Main Methods:

  • A review of 1103 robotic cardiac procedures performed between July 2013 and February 2021.
  • Procedures included off-pump totally endoscopic coronary artery bypass, intracardiac surgeries, and epicardial procedures.
  • Primary outcomes assessed were mortality and perioperative morbidity.

Main Results:

  • Overall mortality was 1.2%, with specific rates for coronary artery bypass (1.0%) and intracardiac procedures (1.5%).
  • Conversions to sternotomy occurred in 0.7% of cases, and 2.2% required reoperation for bleeding.
  • Mean hospital and ICU lengths of stay were 2.74 and 1.28 days, respectively.

Conclusions:

  • A robotic endoscopic approach is safe and effective for various cardiac surgical procedures, both on- and off-pump.
  • Excellent early outcomes were observed, highlighting the benefits of this minimally invasive technique.
  • Continued follow-up is recommended to assess long-term results.