Early experience with robotic mitral valve repair with intra-aortic occlusion

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Kesävuori , R , Raivio , P , Jokinen , J J , Sahlman , A , Teittinen , K & Vento , A 2018 , ' Early experience with robotic mitral valve repair with intra-aortic occlusion ' , Journal of Thoracic and Cardiovascular Surgery , vol. 155 , no. 4 , pp. 1463-1471 . https://doi.org/10.1016/j.jtcvs.2017.10.076

Title: Early experience with robotic mitral valve repair with intra-aortic occlusion
Author: Kesävuori, Risto; Raivio, Peter; Jokinen, Janne J.; Sahlman, Antero; Teittinen, Kari; Vento, Antti
Contributor organization: Clinicum
University of Helsinki
Department of Surgery
III kirurgian klinikka
Sydän ja rintaelinkirurgia
HUS Heart and Lung Center
HUS Medical Imaging Center
Date: 2018-04
Language: eng
Number of pages: 9
Belongs to series: Journal of Thoracic and Cardiovascular Surgery
ISSN: 0022-5223
DOI: https://doi.org/10.1016/j.jtcvs.2017.10.076
URI: http://hdl.handle.net/10138/301099
Abstract: Objective: To report the learning curve and early results of robotic mitral valve repairs in comparison with propensity score-matched sternotomy controls after the adoption of a robotic mitral valve surgery program in a university teaching hospital. Methods: A total of 142 patients underwent robotic mitral valve repair due to degenerative mitral regurgitation between May 2011 and December 2015. Control patients operated on via the conventional sternotomy approach were selected by the use of propensity score analysis resulting in 2 well-matched study groups. Results: Valve repair rate was 98.6% and 97.9% in the robotic and sternotomy groups, respectively. Operation length, cardiopulmonary bypass, aortic crossclamp, and ventilation times were shorter in the sternotomy group. All of these times were statistically significantly reduced within the robotic group during the learning curve. Even though there was no statistically significant difference in the rate of perioperative complications between the groups, 3 patients in the robotic group required postoperative extracorporeal membrane oxygenation due to low cardiac output, and 1 patient in the robotic group died. In the robotic and sternotomy groups, 86.3% versus 84.7% of patients had grade Conclusions: The present series reports the entire early learning curve related to the introduction of robotic mitral valve repair in our institution. In all, repair rate and early durability were acceptable, but more patients in the robotic group had serious complications. Early major robotic complications that occurred may have been related to the simultaneous use of intra-aortic occlusion.
Subject: minimally invasive surgical procedures
robotic surgical procedures
cardiac surgical procedures
mitral valve insufficiency
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: publishedVersion

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