Comparison of postoperative quality of life for patients who undergo atrial myxoma excision with robotically assisted versus conventional surgery

Yang, Ming; Yao, Mengfei; Wang, Gang; Xiao, Chen; Wu, Yaling; Zhang, Huajun; Gao, Changqing

doi:10.1016/j.jtcvs.2015.01.056

Cited by 35 publications

(37 citation statements)

References 19 publications

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“…The in-hospital mortality, para-operative complications, and six-month MAEs of the three groups had no differences according to our experience. In our previous study [17], patients who accepted robotic-assisted myxoma resection had a better quality of life after their operation and went back to work much earlier compared with patients who had a conventional surgical procedure. However, we believe that it is more sensible to perform traditional open chest surgery on patients who have complex cardiac comorbidities, poor heart function, emergency status, and re-do operations.…”

Section: Discussionmentioning

confidence: 99%

Surgical Experience of Primary Cardiac Tumor: Single-Institution 23-Year Report

Gao

2017

Med Sci Monit

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Background:Primary cardiac tumors are rare but have favorable surgical prognosis. Previous studies have been small series studies with limited surgical approaches. To date, few studies have examined the clinical features associated with different surgical procedures. Material/Methods:In a search of the cardiovascular surgery database of our institution, we retrospectively identified 225 patients who had cardiac tumor resection from January 1993 to May 2016. The patients' clinical characteristics and operation information were reviewed, and the operation parameters, postoperative complications, and short-term prognosis among robotic, mini-thoracotomy, and conventional procedures in our center were compared. Results:A total of 228 operations were performed, including 156 traditional open surgeries (68.4%), 60 robotically assisted neoplasm resections (26.3%), and 12 mini-thoracotomy procedures (5.3%). Among 232 lesions, myxoma (94.8%) was the most common neoplasm, and the remainders were fibroma (1.3%) and lipoma (0.9%). Operative complications occurred in 36 patients (15.8%). Arrhythmia (8.8%) was the first common complication, and delayed mechanical ventilation (4.8%) ranked second. The overall risk of recurrence of myxoma was 2.7%. The cardiopulmonary bypass (CPB) time in the mini-thoracotomy group was longer than in the robotic group (p=0.034) and the conventional group (p=0.002). There were no significant differences in cross clamp time (p=0.266) or complications (p=0.835) among the three groups. The in-hospital survival rate was 100% in all patients. There were no significant differences in main adverse events among the three groups at six-month follow-up (p=0.285). Conclusions:Prognosis for cardiac neoplasm surgical resection is favorable for primary cardiac tumors. The minimally invasive surgery of cardiac tumor resection can be an alternative to conventional operations in selected patients.

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Section: Discussionmentioning

confidence: 99%

Surgical Experience of Primary Cardiac Tumor: Single-Institution 23-Year Report

Gao

2017

Med Sci Monit

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“…Murphy et al (4) performed the first successful robotic myxoma excision in 2005. Current literature also suggests that endoscopic myxoma surgery can be performed safely, with excellent results and patient outcome in addition to many other advantages (5).…”

Section: Discussionmentioning

confidence: 99%

“…Following conventional cardiac surgery, sternal stability is one of the most important factors for an uneventful outcome (3,5). Avoiding median sternotomy with robotic surgery provides a more flexible patient care option following cardiac surgery.…”

Section: Discussionmentioning

confidence: 99%

Unrecognized indication for robot-assisted cardiac surgery: Patients with acute psychotic disorders

Demirkılıç

Kadan

Doğancı

et al. 2015

Minimally Invasive Therapy & Allied Technologies

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Patients with acute psychotic disorders are often considered as inappropriate candidates for cardiac surgery as well as for other surgical interventions. Post-operative care and patient compliance, which are the main problems associated with such patients, are the most important issues for conventional cardiac surgery. Robot-assisted cardiac surgery may be a new solution in this respect. In this report we aimed to present our acute psychotic patient with serious mitral insufficiency secondary to huge atrial myxoma, treated with robotic cardiac surgery.

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“…Since most young adult patients are uneasy about the surgical wound, minimally invasive surgery is often sought by them. Although robotic cardiac surgery remains controversial due to steep learning curves, high expenses, long operation time, and highly selected patients, it has been developed over the last decade and is shown to improve cosmesis and quality of life after surgery [4]. We initiated the surgical repair of AVSD in 2011 and completed three cases so far.…”

Section: Discussionmentioning

confidence: 99%

Totally robotic repair of atrioventricular septal defect in the adult

Gao

Yang

Xiao

et al. 2015

J Cardiothorac Surg

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Background: Atrioventricular septal defect (AVSD) accounts for up to 3 % of congenital cardiac defects, which is routinely repaired via median sternotomy. Minimally invasive approach such as endoscopic or robotic assisted repair for AVSD has not been reported in the literature. With the experience with robotic mitral valve surgery and congenital defect repair, we initiated robotic AVSD repair in adults. Case Presentation: In this report, we presented three cases of successful repair of partial and intermediate AVSD by using da Vinci SI surgical system (Intuitive Surgical, Inc., Sunnyvale, CA). Conclusions: Totally robotic AVSD repair via right atriotomy could be safely performed in adults and it may provide superior cosmesis with the comparable surgical outcome of the repair via sternotomy.

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Comparison of postoperative quality of life for patients who undergo atrial myxoma excision with robotically assisted versus conventional surgery

Abstract: The level of restoration of normal QOL within 30 days after atrial myxoma surgery is excellent with the robotically assisted approach, which may enable early return to employment and satisfactory recovery.

Cited by 35 publications

References 19 publications

Surgical Experience of Primary Cardiac Tumor: Single-Institution 23-Year Report

Surgical Experience of Primary Cardiac Tumor: Single-Institution 23-Year Report

Unrecognized indication for robot-assisted cardiac surgery: Patients with acute psychotic disorders

Totally robotic repair of atrioventricular septal defect in the adult

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