First Major Clinical Outcomes of Totally Endoscopic Robotic Mitral Valve Repair in Japan　― A Single-Center Experience ―

Abstract

the number of patients undergoing robotic MV repair in Japan is estimated to increase. We expect that our report will be a landmark national study. We present the early and midterm clinical outcomes of patients undergoing TERMVR; we also evaluated their postoperative complications and long-term outcomes. Methods This study was approved by the Institutional Review Board of NewHeart Watanabe Institute, Japan. Written informed consent was given by all participants before the study. The da

A case of abdominal bleeding after mitral valvuloplasty assisted by da Vinci robotic surgery

“…With the continuous improvement of surgical techniques, all subtypes of MV prolapse are repairable with robotic techniques . An increasing number of successful outcomes in robotic MV repair have been reported by several surgical teams . The advantages of robotic MV repair include three‐dimensional vision and fine dexterity.…”

“…2 An increasing number of successful outcomes in robotic MV repair have been reported by several surgical teams. [3][4][5] The advantages of robotic MV repair include three-dimensional vision and fine dexterity. Therefore, the robotic system provides surgeons with better visualization of the valvular and subvalvular apparatus.…”

“…Furthermore, the robotic surgical system enables all the surgical team members to observe the operative process, which offers a considerable advantage for young surgeons who can observe and learn how to operate the MV. 5 Robotic MV surgery can also reduce blood transfusion, shorten the time of stay at the hospital, and improve the quality of life 6,7 compared to median thoracotomy. Nevertheless, the lack of tactile feedback can potentially limit the surgeon's ability to assess suture depth and tension, resulting in repair failure or bleeding.…”

“…Therefore, the robotic system provides surgeons with better visualization of the valvular and subvalvular apparatus. Furthermore, the robotic surgical system enables all the surgical team members to observe the operative process, which offers a considerable advantage for young surgeons who can observe and learn how to operate the MV . Robotic MV surgery can also reduce blood transfusion, shorten the time of stay at the hospital, and improve the quality of life compared to median thoracotomy.…”

Robotic mitral valve surgery: a review and tips for safely negotiating the learning curve

“…In a propensity score matched analysis of 631 pairs of patients, Paul et al (14) found no significant difference for in-hospital mortality, complications, or composite outcomes in unadjusted or multivariable analyses, between patients undergoing robotic-assisted and non-robotic mitral valve repair. However, what remains overwhelmingly consistent is an operative mortality with robotic mitral valve repair of <1% in large series, with some centres achieving zero mortality (16)(17)(18)(19).…”