Minimally invasive robotic mitral valve surgery

Abstract

Over the past two decades, significant advances have been made in mitral valve surgery. Cardiac surgeons have successfully repaired degenerative and ischemic regurgitant mitral valves via a traditional midline sternotomy. In recent years, alternate incisions have yielded minimally invasive approaches to the mitral valve. Technological advances have made robotically assisted minimally invasive mitral valve surgery feasible. Decreased pain, more rapid return to work, diminished blood loss and reduced length of hospitalization have been witnessed following robotic mitral valve surgery when compared with a traditional sternotomy. Equivalent long-term mortality and freedom from recurrent mitral regurgitation are evident between mitral valve repair performed via a traditional sternotomy and minimally invasive and robotic techniques. As a result, an increasing number of patients and referring cardiologists are seeking minimally invasive approaches to mitral valve surgery.

Robotically assisted mitral valve replacement

“…Less-invasive valve surgery has proved even more promising than less-invasive coronary bypass procedures because simpler anastomoses are required. The feasibility and safety of robotic mitral valve replacement (MVR) has been proven in several studies, [1][2][3] with the main goals of improved cosmesis and less postoperative discomfort while maintaining the same level of safety and efficacy as with conventional surgery. However, robotically assisted MVR demands different surgical skills in the implant of the prosthesis.…”

Robotic-assisted mitral valve surgery without aortic cross-clamping: a safe and feasible technique

“…In the paper by Cerny et al which presents a multicenter analysis of robotically assisted cardiac surgery in Europe, it is shown that the conversion rates are convincingly low and that clinical outcomes are favourable ( 13 ). Better postoperative outcomes have also been demonstrated with robotic mitral valve surgery compared to conventional mitral valve replacement before ( 14 – 16 ). The combination of robotic surgery with electrically induced ventricular fibrillation was used for both primary and redo mitral valve cases in this study.…”

Robot‐assisted surgery: improved tool for major liver resections?

“…Thanks in part to the acquisition of advanced laparoscopic skills and improved instrumentation, nearly all fields of surgery have seen the open counterpart achieved through minimal access surgery. As a result, reduction of hospital stay, improvement in cosmetic results, and decreased postoperative pain has been demonstrated in nearly all the surgical specialties when compared with conventional open operations [].…”