PMID- 37197544
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230519
IS  - 2072-1439 (Print)
IS  - 2077-6624 (Electronic)
IS  - 2072-1439 (Linking)
VI  - 15
IP  - 4
DP  - 2023 Apr 28
TI  - Efficacy and safety of robotic-assisted versus median sternotomy for cardiac 
      surgery: results from a university affiliated hospital.
PG  - 1861-1871
LID - 10.21037/jtd-23-197 [doi]
AB  - BACKGROUND: We aimed to report the experience of robotic-assisted cardiac surgery 
      (RACS) using the Da Vinci robotic surgical system, meanwhile its efficacy and 
      safety was also evaluated by comparing with traditional open-heart surgery 
      (TOHS), thus to provide evidence for a broader application of RACS in clinical 
      practice. METHODS: From July 2017 to May 2022, a total of 255 patients who 
      underwent cardiac surgery assisted by Da Vinci robotic surgery system in the 
      First Affiliated Hospital of Anhui Medical University, which included 134 males 
      with an average age of 52.6+/-6.3 years and 121 females with an average age of 
      51.8+/-5.4 years. They were defined as the RACS group. By searching the hospital's 
      electronic medical record information system, 736 patients with the same disease 
      types who underwent median sternotomy and had complete data in the same period 
      were selected as the TOHS group. Intra- and postoperative clinical results of the 
      both groups were compared, and we focused the following indices including surgery 
      time, reoperation rate for postoperative bleeding, length of intensive care unit 
      (ICU) stay, postoperative hospitalization day, the number of died and withdrawing 
      treatments, and the time of patients back to normal daily activities after 
      discharge. RESULTS: In RACS group, 2 patients were scheduled to undergo mitral 
      valvuloplasty (MVP), but they had to change to mitral valve replacement (MVR) due 
      to unsatisfactory results; furthermore, 1 patient who received atrial septal 
      defect (ASD) repair experienced abdominal hemorrhage because a rupture of 
      abdominal aorta which were induced by the femoral arterial cannulation, and this 
      patient eventually died of invalid rescue. As for the comparison of clinical 
      results between both groups, there were no significant statistical differences in 
      reoperation rate for postoperative bleeding, and the number of died and 
      withdrawing treatments between both groups. However, length ICU stay, 
      postoperative hospitalization day, and the time of patients back to normal daily 
      activities after discharge was lower in RACS group in addition to the surgery 
      time. CONCLUSIONS: Compared with TOHS, RACS is safe and effective in clinical and 
      is worthy of promotion in an appropriate place.
CI  - 2023 Journal of Thoracic Disease. All rights reserved.
FAU - Liu, Zhuang
AU  - Liu Z
AD  - Department of Cardiovascular Surgery, The First Affiliated Hospital of Anhui 
      Medical University, Hefei, China.
FAU - Zhang, Chengxin
AU  - Zhang C
AD  - Department of Cardiovascular Surgery, The First Affiliated Hospital of Anhui 
      Medical University, Hefei, China.
FAU - Ge, Shenglin
AU  - Ge S
AD  - Department of Cardiovascular Surgery, The First Affiliated Hospital of Anhui 
      Medical University, Hefei, China.
LA  - eng
PT  - Journal Article
PL  - China
TA  - J Thorac Dis
JT  - Journal of thoracic disease
JID - 101533916
PMC - PMC10183528
OTO - NOTNLM
OT  - Robot
OT  - cardiac surgery
OT  - minimally invasive
COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure 
      form (available at 
      https://jtd.amegroups.com/article/view/10.21037/jtd-23-197/coif). The authors 
      have no conflicts of interest to declare.
EDAT- 2023/05/18 01:07
MHDA- 2023/05/18 01:08
PMCR- 2023/04/28
CRDT- 2023/05/17 20:03
PHST- 2023/01/10 00:00 [received]
PHST- 2023/04/19 00:00 [accepted]
PHST- 2023/05/18 01:08 [medline]
PHST- 2023/05/18 01:07 [pubmed]
PHST- 2023/05/17 20:03 [entrez]
PHST- 2023/04/28 00:00 [pmc-release]
AID - jtd-15-04-1861 [pii]
AID - 10.21037/jtd-23-197 [doi]
PST - ppublish
SO  - J Thorac Dis. 2023 Apr 28;15(4):1861-1871. doi: 10.21037/jtd-23-197.