Critical Outcomes in Nonrobotic vs Robotic-Assisted Cardiac Surgery.

摘要: Importance As robotic-assisted cardiac surgical procedures increase nationwide, surgeons need to be educated on the safety of new modality compared with that open technique. Objective To compare complications, length stay (LOS), actual cost, and mortality between nonrobotic procedures. Design, Setting, Participants Weighted data patients who had undergone operations involving valves or septa vessels, as well other heart pericardium procedures, from January 1, 2008, December 31, 2011, were obtained Nationwide Inpatient Sample via Healthcare Cost Utilization Project Agency for Research Quality. Propensity score matching was used match each case 2 cases 14 characteristics. Main Outcomes Measures Complications, median LOS, mortality. Results Exploratory analysis found a total 1 374 653 (1 369 454 [99.6%] 5199 [0.4%] cases). After propensity matching, there 10 331 (66.5%) (33.5%) cases. Cardiac included 1630 (10.5%) septa, 6616 (42.6%) 7284 (46.9%) Robotic-assisted surgery higher cost ($39 030 vs $36 340; P Conclusions Relevance Overall, has significantly reduced surgery. this study support contention is safe offers surgeon an additional technique performing