Robotic techniques improve quality of life in patients undergoing atrial septal defect repair

Morgan, Jeffrey A.; Peacock, Joy; Kohmoto, Takushi; Garrido, Mauricio; Schanzer, Bella; Kherani, Aftab R.; Vigilance, Deon W.; Cheema, Faisal H.; Kaplan, Sadi; Smith, Craig R.; Öz, Mehmet C.; Argenziano, Michael

doi:10.1016/j.athoracsur.2003.09.044

Cited by 100 publications

(62 citation statements)

References 14 publications

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“…The introduction of TECAB is based on the assumption that avoidance of median sternotomy should lead to reduced operative stress, lessened post-operative pain and a significantly more rapid return to a normal lifestyle, without increase in perioperative mortality and morbidity. This assumption has been confirmed in a recent study performed in patients who underwent atrial septal defect (ASD) closure in a totally endoscopic fashion, via mini-thoracotomy or via conventional sternotomy [10]. In this report, robotic technology minimized the degree of invasiveness, hastened postoperative recovery, and improved quality of life, although length of hospital stay was unchanged.…”

Section: Introductionsupporting

confidence: 64%

Quality of Life Improvement after Robotically Assisted Coronary Artery Bypass Grafting

Bonaros¹,

Schachner²,

Wiedemann³

et al. 2009

Cardiology

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Objectives: Coronary artery bypass grafting (CABG) is associated with long rehabilitation periods and slow quality of life (QOL) improvement. Totally endoscopic coronary artery bypass grafting (TECAB) can be performed using robotic technology and remote access perfusion. The aim of this study was to evaluate whether TECAB leads to accelerated QOL improvement as compared to standard CABG. Methods: We included 120 patients who had received robotically assisted CABG, 56 of whom were operated on using standard sternotomy. These patients were compared to 55 patients who underwent the TECAB procedure and to 9 TECAB patients who required conversion to conventional sternotomy. QOL evaluation was performed before the operation and 1, 3 and 6 months after the procedure using the SF-36 health survey and a standardized questionnaire. Results: All quality of life aspects improved significantly in all study patients. At 3 months, TECAB patients showed significantly better QOL scores related to bodily pain and physical health. Hospital stay and time to restoration of daily activities were significantly shorter. Converted patients experienced similar courses to sternotomy patients in terms of QOL. Conclusions: TECAB using robotic technology leads to improved physical health, shorter hospital stay and a more rapid restoration of daily activities. Conversion from TECAB to sternotomy does not lead to QOL impairment as compared to primary sternotomy.

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Section: Introductionsupporting

confidence: 64%

Quality of Life Improvement after Robotically Assisted Coronary Artery Bypass Grafting

Bonaros¹,

Schachner²,

Wiedemann³

et al. 2009

Cardiology

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“…TTS has shown some encouraging results, as in all reported cases the operation could be performed safely, and with no need for conversion to full sternotomy or minithoracotomy. [16][17][18][19] The current study provides details of early clinical results including the functional and cosmetic results from totally thoracoscopic approach and RALT in comparison.…”

Section: Discussionmentioning

confidence: 99%

Two Different Minimally Invasive Techniques for Female Patients with Atrial Septal Defects: Totally Thoracoscopic Technique and Right Anterolateral Thoracotomy Technique

Zhu

Wang

et al. 2015

ATCS

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“…This failure was therefore likely related to use of a direct closure technique rather than using a patch repair and therefore not a failure of the robotic technique per se. Morgan et al subsequently demonstrated that robotic ASD closure hastens postoperative recovery and improves quality of life compared to either a mini-thoracotomy or median sternotomy approach (41).…”

Section: Congenital Surgerymentioning

confidence: 99%

Robotics in Cardiac Surgery

Rodríguez

Chitwood

2009

Scand J Surg

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Minimally invasive surgery has revolutionized the surgical field over the last two decades. Robotic assisted surgery is the latest iteration towards less invasive techniques. cardiac surgeons have slowly adapted minimally invasive and robotics techniques into their armamentarium. in particular, minimally invasive mitral valve surgery has evolved over the last decade and become the preferred method of mitral valve repair and replacement at certain specialized centres worldwide because of excellent results. We have developed a robotic mitral valve surgery program which utilizes the da Vinci ® telemanipulation system allowing the surgeon to perform complex mitral valve repairs through 5mm port sites rather than a traditional median sternotomy. in this rapidly evolving field, we review the evolution and clinical results of robotically-assisted mitral valve surgery and take a look at the other cardiac surgical procedures for which da Vinci ® is currently being used.

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Robotic techniques improve quality of life in patients undergoing atrial septal defect repair

Cited by 100 publications

References 14 publications

Quality of Life Improvement after Robotically Assisted Coronary Artery Bypass Grafting

Quality of Life Improvement after Robotically Assisted Coronary Artery Bypass Grafting

Two Different Minimally Invasive Techniques for Female Patients with Atrial Septal Defects: Totally Thoracoscopic Technique and Right Anterolateral Thoracotomy Technique

Robotics in Cardiac Surgery

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