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. 2017 Jan;6(1):1-8.
doi: 10.21037/acs.2017.01.02.

The state of robotic cardiac surgery in Europe

Matteo Pettinari  1 , Emiliano Navarra  2 , Philippe Noirhomme  2 , Herbert Gutermann  1
Affiliations

The state of robotic cardiac surgery in Europe

Matteo Pettinari et al. Ann Cardiothorac Surg. 2017 Jan.

Abstract

Background: In the past two decades, the introduction of robotic technology has facilitated minimally invasive cardiac surgery, allowing surgeons to operate endoscopically rather than through a median sternotomy. This approach has facilitated procedures for several structural heart conditions, including mitral valve repair, atrial septal defect closure and multivessel minimally invasive coronary artery bypass grafting. In this rapidly evolving field, we review the status of robotic cardiac surgery in Europe with a focus on mitral valve surgery and coronary revascularization.

Methods: Structured searches of MEDLINE, Embase, and Cochrane databases were performed from their dates of inception to June 2016. All original studies, except case-reports, were included in this qualitative review. Studies performed in Europe were presented quantitatively. Data provided from Intuitive Surgical Inc. are also presented.

Results: Fourteen papers on coronary surgery were included in the analysis and reported a mortality rate ranging between 0-1%, revision for bleeding between 2-7%, conversion to a larger incision between 2-15%, and patency rate between 92-98%. The number of procedures ranged between 23 and 170 per year. There were only a small number of published reports for robotic mitral valve surgery from European centers.

Conclusions: Coronary robotic surgery in Europe has been performed safely and effectively with very few perioperative complications in the last 15 years. On the other hand, mitral surgery has been developed later with increasing applications of this technology only in the last 5-6 years.

Keywords: Minimally invasive; coronary; mitral valve; robotic.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Mitral valve procedures in Europe.
Figure 2
Figure 2
Robot-assisted CABG in Europe. CABG, coronary artery bypass grafting.
Figure 3
Figure 3
Mitral valve procedures in the United States.
Figure 4
Figure 4
Robot-assisted CABG in the United States. CABG, coronary artery bypass grafting.
See this image and copyright information in PMC

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