Korean J Thorac Cardiovasc Surg.  2013 Apr;46(2):93-97. 10.5090/kjtcs.2013.46.2.93.

Surgical Outcomes of Congenital Atrial Septal Defect Using da VinciTM Surgical Robot System

• Kim JE
• Jung SH
• Kim GS
• Kim JB
• Choo SJ
• Chung CH
• Lee JW

• KMID: 1427801
• DOI: http://doi.org/10.5090/kjtcs.2013.46.2.93

Abstract

BACKGROUND
Minimally invasive cardiac surgery has emerged as an alternative to conventional open surgery. This report reviews our experience with atrial septal defect using the da VinciTM surgical robot system.
MATERIALS AND METHODS
This retrospective study included 50 consecutive patients who underwent atrial septal defect repair using the da VinciTM surgical robot system between October 2007 and May 2011. Among these, 13 patients (26%) were approached through a totally endoscopic approach and the others by mini-thoracotomy. Nineteen patients had concomitant procedures including tricuspid annuloplasty (n=10), mitral valvuloplasty (n=9), and maze procedure (n=4). The mean follow-up duration was 16.9+/-10.4 months.
RESULTS
No remnant interatrial shunt was detected by intraoperative or postoperative echocardiography. The atrial septal defects were mainly repaired by Gore-Tex patch closure (80%). There was no operative mortality or serious surgical complications. The aortic cross clamping time and cardiopulmonary bypass time were 74.1+/-32.2 and 157.6+/-49.7 minutes, respectively. The postoperative hospital stay was 5.5+/-3.3 days.
CONCLUSION
The atrial septal defect repair with concomitant procedures like mitral valve repair or tricuspid valve repair using the da VinciTM system is a feasible method. In addition, in selected patients, complete port access can be helpful for better cosmetic results and less musculoskeletal injury.

Keyword

Heart septal defects; Minimally invasive cardiac surgery; da VinciTM surgical robot system; Totally endoscopic approach

MeSH Terms

Cardiopulmonary Bypass
Constriction
Cosmetics
Echocardiography
Follow-Up Studies
Heart Septal Defects
Heart Septal Defects, Atrial
Humans
Length of Stay
Mitral Valve
Polytetrafluoroethylene
Retrospective Studies
Thoracic Surgery
Tricuspid Valve
Cosmetics
Polytetrafluoroethylene