Robotic repair of posterior mitral valve prolapse versus conventional approaches: potential realized.

摘要: Objective Robotic mitral valve repair is the least invasive approach to repair, yet there are few data comparing its outcomes with those of conventional approaches. Therefore, we compared robotic complete sternotomy, partial and right mini-anterolateral thoracotomy. Methods From January 2006 2009, 759 patients degenerative disease posterior leaflet prolapse underwent primary isolated surgery by sternotomy (n = 114), (n = 270), thoracotomy or a (n = 261). Outcomes were on an intent-to-treat basis using propensity-score matching. Results Mitral was achieved in all except 1 patient group. In matched groups, median cardiopulmonary bypass time 42 minutes longer for than 39 11 ( P  0001); myocardial ischemic 26 16 0001). Quality similar among groups P = .6, .2, .1, respectively). There no in-hospital deaths. Neurologic, pulmonary, renal complications > .1). The group had lowest occurrences atrial fibrillation pleural effusion, contributing shortest hospital stay (median 4.2 days), 1.0, 1.6, 0.9 days shorter (all .001), respectively. Conclusions as safe effective Technical complexity operative times compensated lesser invasiveness stay.