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. 2022 Jun 13;17(1):155.
doi: 10.1186/s13019-022-01899-3.

Early results of totally endoscopic robotic aortic valve replacement: analysis of 4 cases

Jiaqi Sun  1 , Ye Yuan  1 , Yi Song  1 , Yijie Hu  1 , Xue Bai  1 , Jing Chen  1 , Qianjin Zhong  2
Affiliations

Early results of totally endoscopic robotic aortic valve replacement: analysis of 4 cases

Jiaqi Sun et al. J Cardiothorac Surg. .

Abstract

Objective: To evaluate the role of totally endoscopic robotic aortic valve replacement in cardiac surgery.

Methods: Four cases of totally robotic aortic valve replacement (AVR) were conducted from December 2016 to July 2018. All operations were completed with the Da Vinci robot Si™ system (intuitive Surgical, Inc. Sunnyvale, C.A, USA). Patients were male, with a mean age of 42.8 ± 6.2 years (range 32-49).

Results: AVR was completed with the Da Vinci Si™ system (intuitive Surgical, Inc. Sunnyvale, CA, USA). There was no mortality and no procedure-related morbidity. The mean cardiopulmonary bypass and mean cross-clamp time was 252 ± 13.6 min and 178.8 ± 17.1 min, respectively. The mean ICU time was 78.8 ± 27.1 h, and the mean hospital stay was 15 ± 3.5 d. During a mean follow-up of 3 years and 6 months, the patients returned to normal function, and no heart murmur was found. Compared with the operation, the body image score of the four patients increased after the operation, and the hospital anxiety and depression scale scores decreased, indicating that the patient's condition had been alleviated to a certain extent.

Conclusion: Totally endoscopic robotic AVR is a feasible and viable choice for patients but requires further improvement for broader use.

Keywords: Aortic valve replacement; Da Vinci SiTM system; Minimally invasive surgery; Robotic surgery.

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Conflict of interest statement

The authors state that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
The Da Vinci robot Si™ system was used to excise the diseased valve
Fig. 2
Fig. 2
All the sutures were placed on the bileaflet mechanical prosthetic heart valve before it was implanted, and all knots were secured with a knot pusher
See this image and copyright information in PMC

References

    1. Sepehripour AH, et al. Robotics in cardiac surgery. A R Coll Surgeons Engl. 2018. - PMC - PubMed
    1. Peterson ED, Shroyer ALW, et al. Trends in robotic-assisted coronary artery bypass grafts: a study of the society of thoracic surgeons adult cardiac surgery database, 2006 to 2012. Ann Thorac Surg. 2016;102(1):140–146. doi: 10.1016/j.athoracsur.2015.12.059. - DOI - PubMed
    1. Nifong LW, Chu VF, Bailey BM, et al. Robotic mitral valve repair: experience with the da Vinci system. Ann Thorac Surg. 2003;75(2):438–443. doi: 10.1016/S0003-4975(02)04554-X. - DOI - PubMed
    1. Mack MJ. Minimally invasive and robotic surgery. JAMA J Am Med Assoc. 2001. - PubMed
    1. Cohn LH, Adams DH, Couper GS, et al. Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg. 1997;226:421–426. doi: 10.1097/00000658-199710000-00003. - DOI - PMC - PubMed

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