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Does Robot-Assisted Hybrid Coronary Revascularization Matter? Insights From a Single-Center Experience in Patient
Salman W Bafageeh1,2, Hani I Barnawi1, Mohammed A Ashour1
1Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Insights
Robot-assisted hybrid coronary revascularization (RHCR) significantly improves patient quality of life (QoL) compared to conventional coronary artery bypass grafting (CABG). RHCR offers better outcomes in physical functioning and general health perception post-surgery.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Procedures
- Quality of Life Research
Background:
- Coronary artery disease (CAD) negatively impacts patient quality of life (QoL).
- Robot-assisted hybrid coronary revascularization (RHCR) presents a minimally invasive option for CAD treatment.
- Conventional coronary artery bypass grafting (CABG) is a standard treatment for CAD.
Purpose of the Study:
- To evaluate and compare the QoL outcomes of RHCR versus conventional CABG.
- To assess QoL using the 36-Item Short Form (SF-36) questionnaire.
- To analyze QoL changes at preoperative, 4-week, and 6-month postoperative intervals.
Main Methods:
- Prospective study of 96 patients with multivessel CAD (48 RHCR, 48 CABG).
- QoL assessment via SF-36 questionnaire across 8 domains.
- Statistical comparison of QoL scores between RHCR and CABG groups.
Main Results:
- RHCR group showed consistently higher QoL scores in physical functioning, mental health, social functioning, and general health.
- Significant improvements in physical functioning, social functioning, and bodily pain were observed in RHCR patients at 4 weeks.
- RHCR demonstrated sustained superiority in physical functioning, general health, and mental health at 6 months post-surgery.
Conclusions:
- RHCR leads to greater improvements in QoL compared to conventional CABG.
- Key QoL domains benefiting from RHCR include physical functioning, role limitations, and general health perception.
- RHCR is a favorable alternative for enhancing patient recovery and well-being in CAD treatment.
Objective:
Coronary artery disease (CAD) significantly affects patient quality of life (QoL). Robot-assisted hybrid coronary revascularization (RHCR) emerged as a minimally invasive alternative to conventional coronary artery bypass grafting (CABG), offering enhanced recovery and improved QoL outcomes. This study evaluates the QoL outcomes of RHCR compared with conventional CABG preoperatively and 4 weeks and 6 months postoperatively using the validated 36-Item Short Form (SF-36) questionnaire.
Methods:
This prospective study included 96 patients (48 RHCR, 48 CABG) with multivessel CAD treated at King Faisal Specialist Hospital between July 2018 and December 2020. QoL was assessed using the SF-36 questionnaire across 8 domains with scores obtained preoperatively and at 4 weeks and 6 months after surgery. Statistical analyses were conducted to compare changes between groups.
Results:
The RHCR group consistently reported higher scores for physical functioning and role limitations due to physical health, mental health, social functioning, and general health at all time points. At 4 weeks, RHCR patients experienced significantly better scores in physical functioning (75.4 vs 62.6, P < 0.001), social functioning (72.5 vs 64.2, P = 0.003), and bodily pain (76.8 vs 54.0, P < 0.001). At 6 months, RHCR maintained superiority in physical functioning (94.7 vs 88.0, P < 0.001), general health (84.1 vs 78.1, P = 0.020), and mental health (83.5 vs 75.4, P = 0.002).
Conclusions:
RHCR is associated with greater improvements in QoL compared with conventional CABG, particularly in domains related to physical functioning, role limitations due to physical health, and general health perception.
