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Obesity Does Not Affect Major Outcomes in Robotic Coronary Surgery
Emre Yasar1, Zihni Mert Duman2, Muhammed Bayram3
1Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Research and Training Hospital, 34303 Istanbul, Turkey. dremreyasar@gmail.com.
The Heart Surgery Forum
|November 3, 2023
Summary
Robotic-assisted coronary surgery is safe and effective for obese patients, with outcomes comparable to non-obese individuals. While operation times may be longer, major complications are similar, highlighting its viability.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic-assisted coronary surgery offers potential advantages over traditional open-heart procedures.
- Benefits include decreased mortality, shorter hospital stays, and reduced complications.
- The impact of obesity on robotic coronary surgery outcomes requires further investigation.
Purpose of the Study:
- To evaluate the outcomes of robotic-assisted coronary surgery.
- To specifically assess the impact of obesity on these outcomes.
Main Methods:
- A retrospective analysis of 210 patients undergoing robotic-assisted coronary surgery.
- Patients were stratified into obese (BMI ≥30 kg/m2) and non-obese (BMI <30 kg/m2) groups.
- Comparison of preoperative characteristics, operative factors, and postoperative outcomes.
Main Results:
- Obese and non-obese groups had similar preoperative comorbidities.
- Obese patients experienced longer operation times (p=0.03).
- Superficial wound infections were more common in obese patients (p=0.03), but major cardiac/cerebrovascular events and overall complications were comparable. ICU and hospital stays were similar.
Conclusions:
- Robotic-assisted coronary surgery is a feasible and safe alternative to conventional open-heart surgery.
- Outcomes are comparable between obese and non-obese patients.
- The procedure offers reduced mortality, shorter hospital stays, and minimized perioperative complications.
