Robotic Cardiac Surgery in Europe: Status 2020
Status PubMed-not-MEDLINE Language English Country Switzerland Media electronic-ecollection
Document type Journal Article
PubMed
35127877
PubMed Central
PMC8811127
DOI
10.3389/fcvm.2021.827515
Knihovny.cz E-resources
- Keywords
- cardiac surgery, coronary artery bypass grafting, keyhole surgery, minimally invasive surgery, mitral valve surgery, robotic surgery,
- Publication type
- Journal Article MeSH
BACKGROUND: European surgeons were the first worldwide to use robotic techniques in cardiac surgery and major steps in procedure development were taken in Europe. After a hype in the early 2000s case numbers decreased but due to technological improvements renewed interest can be noted. We assessed the current activities and outcomes in robotically assisted cardiac surgery on the European continent. METHODS: Data were collected in an international anonymized registry of 26 European centers with a robotic cardiac surgery program. RESULTS: During a 4-year period (2016-2019), 2,563 procedures were carried out [30.0% female, 58.5 (15.4) years old, EuroSCORE II 1.56 (1.74)], including robotically assisted coronary bypass grafting (n = 1266, 49.4%), robotic mitral or tricuspid valve surgery (n = 945, 36.9%), isolated atrial septal defect closure (n = 225, 8.8%), left atrial myxoma resection (n = 54, 2.1%), and other procedures (n = 73, 2.8%). The number of procedures doubled during the study period (from n = 435 in 2016 to n = 923 in 2019). The mean cardiopulmonary bypass time in pump assisted cases was 148.6 (63.5) min and the myocardial ischemic time was 88.7 (46.1) min. Conversion to larger thoracic incisions was required in 56 cases (2.2%). Perioperative rates of revision for bleeding, stroke, and mortality were 56 (2.2%), 6 (0.2 %), and 27 (1.1%), respectively. Median postoperative hospital length of stay was 6.6 (6.6) days. CONCLUSION: Robotic cardiac surgery case numbers in Europe are growing fast, including a large spectrum of procedures. Conversion rates are low and clinical outcomes are favorable, indicating safe conduct of these high-tech minimally invasive procedures.
Acibadem Maslak Hospital Acibadem University Istanbul Turkey
AZ Maria Middelares Ghent Belgium
CHU UCL Namur Site Godinne Namur Belgium
Cliniques Univesitaires Saint Luc Brussels Belgium
Department of Cardiovascular Sciences University Hospital Leuven KU Leuven Leuven Belgium
Erasme Hospital Brussels Brussels Belgium
Gulhane Education ve Research Hospital Ankara Turkey
Henri MONDOR Hospital Assitance Publique Hopitaux de Paris Paris France
Hospital Clínic de Barcelona Barcelona Spain
Humanita Gavazzeni Bergamo Italy
Imelda Hospital Bonheiden Bonheiden Belgium
ISALA Hospital Zwolle Netherlands
Leiden University Medical Center Leiden Netherlands
Liverpool Heart and Chest Liverpool United Kingdom
Maastricht University Medical Center Maastricht Netherlands
MONZA Hospital Bucharest Romania
Na Homolce Hospital Prague Czechia
Robert Bosch Hospital Stuttgart Germany
Rouen University Hospital Rouen France
San Camillo Hospital Rome Italy
University Hospital Bordeaux Bordeaux France
University Hospital Ghent Ghent Belgium
University Hospital Hradec Kralove Hradec Kralove Czechia
University Hospital Zurich Zurich Switzerland
University Medical Centre Utrecht Utrecht Netherlands
University of Pittsburgh Medical Center Pittsburgh PA United States
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