Robotic mitral surgery at East Carolina University: a 6 year experience
作者： Evelio Rodríguez , Alan P. Kypson , Simon C. Moten , L. Wiley Nifong , W. Randolph Chitwood
DOI: 10.1002/RCS.80
关键词: Surgery 、 Mitral valve repair 、 Operative death 、 Retrospective review 、 Patient demographics 、 Standard of care 、 Medicine 、 Current technology 、 Early results 、 Retrospective cohort study 、 Biophysics 、 Computer Science Applications
摘要: Background Robotic mitral valve repair using the da Vinci™ telemanupilation system has become standard of care at many centres worldwide. We perform first robotic MV in United States year 2000. This article reviews our 6 experience and current technique as well future trends field. Methods Retrospective review initial 200 repairs. Patient demographics, operative times, type repairs, morbidities, mortality, success including need for reoperations were reviewed. Results The average age was 57 ± 0.9 years. Average time CPB 156 minutes cross clamp 119 minutes. There one death (0.5%) with no device related complications. Postoperative TEE demonstrated MR 187 (93.5%) patients, trace (3%) moderate 5 (2.5%) SAM 2 (1%) patients. Five patients required reoperation failed repairs. Conclusions Robotic operations are safe excellent early results. Follow-up studies needed to determine longevity. must continue improve technology order develop next generation tools that will facilitate Copyright © 2006 John Wiley & Sons, Ltd.
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