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Updated: Jan 10, 2026

Robotic Ablation of Atrial Fibrillation
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Robotic Versus Sternotomy Approach for Left Atrial Myxoma Resection: A Retrospective Single-Center Study.

Gabriel Saiydoun1, Saadé Saade2, Costin Radu3

  • 1Department of Cardiac and Thoracic Surgery, Pitié-Salpêtrière University Hospital, Assistance Publique des Hôpitaux de Paris, 75013 Paris, France.

Journal of Clinical Medicine
|November 27, 2025
PubMed
Summary
This summary is machine-generated.

Robotic-assisted myxoma resection is safe and effective, showing excellent survival rates comparable to conventional sternotomy. This minimally invasive approach offers comparable outcomes despite longer operative times.

Keywords:
cardiac tumorinnovation in cardiac surgeryminimally invasive surgeryrobotic cardiac surgery

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Left atrial myxomas are the most common primary cardiac tumors.
  • Surgical resection is the standard treatment.
  • Conventional sternotomy carries risks, prompting investigation into minimally invasive alternatives.

Purpose of the Study:

  • To compare the safety and efficacy of robotic-assisted versus conventional sternotomy for left atrial myxoma resection.
  • To evaluate short-term and mid-term survival and clinical outcomes.

Main Methods:

  • Retrospective single-center study of 16 patients undergoing left atrial myxoma resection (April 2019-June 2024).
  • Procedures performed by the same surgical team using either robotic (DaVinci Xi) or conventional sternotomy.
  • Robotic approach utilized peripheral cardiopulmonary bypass and Custodiol cardioplegia.

Main Results:

  • No significant baseline differences between the 8 robotic and 8 sternotomy patients, except lower EuroSCORE II in the robotic group.
  • Robotic surgery had longer cardiopulmonary bypass and cross-clamp times but similar ICU and hospital stays.
  • 100% stroke-free survival at 30 days and 100% survival at 5 years in the robotic group versus 86% in the sternotomy group.

Conclusions:

  • Robotic-assisted resection of left atrial myxomas is feasible and safe in selected low-risk patients.
  • This approach demonstrates excellent mid-term survival comparable to sternotomy.
  • Excellent outcomes achieved despite longer operative times, highlighting potential benefits of minimally invasive techniques.