The role of robotics in cardiac surgery: a systematic review.

Cardiac Surgical Procedures / methods Coronary Artery Bypass / mortality Databases, Bibliographic Feasibility Studies Female Follow-Up Studies Humans Male Middle Aged Minimally Invasive Surgical Procedures / methods Robotic Surgical Procedures / methods Time Factors Treatment Outcome
Endoscopic Robotic cardiac surgery Robotically assisted

Journal

Journal of robotic surgery
ISSN: 1863-2491
Titre abrégé: J Robot Surg
Pays: England
ID NLM: 101300401

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 13 08 2018
accepted: 20 09 2018
pubmed: 27 9 2018
medline: 20 6 2019
entrez: 27 9 2018
Statut: ppublish

Résumé

The application of robotic technologies in cardiac surgery has provided the possibility for minimally invasive access inside the thorax and avoidance of a median sternotomy. Given that current evidence seems promising, we sought to systematically review the existing literature regarding the efficacy, feasibility and mortality rate associated with robotic cardiac surgery. The PubMed and Cochrane bibliographical databases were thoroughly searched for the following MeSH terms: "robotic", "cardiac surgery" and "heart surgery". Original studies on robotic cardiac surgery in more than ten cases and reporting on the associated peri- or post-operative mortality were deemed eligible. Twenty-eight studies were included and provided data for 5993 patients with a mean age of 59.8 years. Approximately, one out of two patients (49.2%) underwent robotic CABG, while the other half (49.9%) underwent robotic MVR. Robotic atrial septal defect repair and atrial tumor resection were performed in a small proportion (0.9%) of the patients. Mean 30-day mortality was 0.7% ranging from 0 to 0.8% among the different types of surgery, while late mortality was 0.8% ranging from 0 to 1% with a mean follow-up period of 40.1 months. Our findings demonstrate that the application of robotics in cardiac surgery has provided a safe and efficacious alternative to the traditional techniques. However, more trials are necessary to elucidate all of its aspects.

Identifiants

DOI: 10.1007/s11701-018-0875-5 PMID: 30255360
pubmed: 30255360
doi: 10.1007/s11701-018-0875-5
pii: 10.1007/s11701-018-0875-5
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

41-52

Références

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Auteurs

Ilias P Doulamis (IP)

Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece. doulamis.i@gmail.com.
Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece. doulamis.i@gmail.com.

Eleftherios Spartalis (E)

Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.
Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.

Nikolaos Machairas (N)

Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.

Dimitrios Schizas (D)

Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
1st Department of Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece.

Dimitrios Patsouras (D)

Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.
Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.

Michael Spartalis (M)

Division of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.

Diamantis I Tsilimigras (DI)

Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.

Demetrios Moris (D)

Department of Surgery, Duke University Medical Center, Durham, NC, USA.

Dimitrios C Iliopoulos (DC)

Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.

Aspasia Tzani (A)

Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.

Dimitrios Dimitroulis (D)

Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
2nd Department of Propaedeutic Surgery, National and Kapodistrian University of Athens, Medical School, Athens, Greece.

Nikolaos I Nikiteas (NI)

Laboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.
Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.

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