Robotic Mitral Valve Repair: A Community Hospital Experience

摘要: Robotically assisted cardiac surgery has been presented as less invasive than conventional surgery, with shortened hospital stays and faster return to daily activities. We evaluated our experience the da Vinci robot determine whether we could in fact demonstrate those findings. All mitral tricuspid valve repairs were performed by same surgeon. Cardiopulmonary bypass was femoral cannulation, antegrade cardioplegia, transthoracic aortic cross-clamping. Multiple repair techniques used, including quadrant resection, cord replacement, Alfieri leaflet coaptation, ring annuloplasty. Access 2 ports a 5-cm right anterolateral thoracotomy. annuloplasty rings secured using surgical clips. From October 2003 through September 2004, 32 patients underwent robotically repair. The mean age of population 676 years (range, 43-82 years). Four also 1st United States. There 3 conversions for irreparable valves, 1 stroke, deaths. average procedure time, cardiopulmonary cross-clamp time all reduced, when first 20 compared last 12. Length-of-stay improved. One patient required early replacement recurrent regurgitation. Two late (> month) have shown that dedicated nonacademic institute can develop robotic program perform successfully. is several-case learning curve, selection paramount.