Korean J Thorac Cardiovasc Surg.  2015 Apr;48(2):99-104. 10.5090/kjtcs.2015.48.2.99.

Robot-Assisted Cardiac Surgery Using the Da Vinci Surgical System: A Single Center Experience

• Kim ER
• Lim C
• Kim DJ
• Kim JS
• Park KH

• KMID: 2382238
• DOI: http://doi.org/10.5090/kjtcs.2015.48.2.99

Abstract

BACKGROUND
We report our initial experiences of robot-assisted cardiac surgery using the da Vinci Surgical System.
METHODS
Between February 2010 and March 2014, 50 consecutive patients underwent minimally invasive robot-assisted cardiac surgery.
RESULTS
Robot-assisted cardiac surgery was employed in two cases of minimally invasive direct coronary artery bypass, 17 cases of mitral valve repair, 10 cases of cardiac myxoma removal, 20 cases of atrial septal defect repair, and one isolated CryoMaze procedure. Average cardiopulmonary bypass time and average aorta cross-clamping time were 194.8+/-48.6 minutes and 126.1+/-22.6 minutes in mitral valve repair operations and 132.0+/-32.0 minutes and 76.1+/-23.1 minutes in myxoma removal operations, respectively. During atrial septal defect closure operations, the average cardiopulmonary bypass time was 128.3+/-43.1 minutes. The median length of stay was between five and seven days. The only complication was that one patient needed reoperation to address bleeding. There were no hospital mortalities.
CONCLUSION
Robot-assisted cardiac surgery is safe and effective for mitral valve repair, atrial septal defect closure, and cardiac myxoma removal surgery. Reducing operative time depends heavily on the experience of the entire robotic surgical team.

Keyword

Robotics; Thoracic surgery; Minimally invasive surgical procedures

MeSH Terms

Aorta
Cardiopulmonary Bypass
Coronary Artery Bypass
Heart Septal Defects, Atrial
Hemorrhage
Hospital Mortality
Humans
Length of Stay
Mitral Valve
Myxoma
Operative Time
Reoperation
Robotics
Surgical Procedures, Minimally Invasive
Thoracic Surgery*