机器人中膜修复用于退行性中膜反
Makoto Mori1, Niharika Parsons2, Markus Krane1
1Division of Cardiac Surgery, Yale School of Medicine, New Haven, Connecticut.
The Annals of thoracic surgery
|August 18, 2023
概括
机器人对退行性 mitrale regurgitation 的膜修复显示了与传统方法相比的安全性. 这种最少的侵入性方法提供了较低的转化率,较短的住院时间和较少的再入院.
科学领域:
- 心血管外科心血管外科
- 最少侵入性的手术
- 医疗技术 医疗技术 医学技术
背景情况:
- 缺乏当代的国家数据,比较机器人中膜修复与对退行性中膜吐的非机器人方法.
- 需要描述国家使用趋势和比较安全结果.
研究的目的:
- 分析使用机器人 mitrale 修复的国家趋势.
- 为了比较机器人关节修复与胸骨切除和胸口切除方法的安全性和结果.
主要方法:
- 对胸腔外科医生协会成人心脏手术数据库 (2015-2021) 的分析.
- 包括61,322名患者接受了因退行性 mitrale 吐而进行的 mitrale 修复.
- 机器人与胸切除术 (5540对) 和机器人与胸切除术 (6962对) 方法的倾向分数匹配.
主要成果:
- 在2015年至2021年期间,机器人刀修复的利用率从10.9%增加到14.6%.
- 机器人和非机器人的方法之间死亡率和发病率没有显著差异.
- 机器人方法显示了较低的转化率,较短的逗留时间和较少的30天再入院.
结论:
- 机器人关节修复是退行性关节反的安全有效替代方案.
- 它提供了优势,包括较低的转换率和改善的术后恢复,而不是胸腔切除和胸腔切除.
- 较高体积的中心与机器人 mitrale 修复的改善结果有关.
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