Stevens et al.[5050 Stevens LM, Rodriguez E, Lehr EJ, Kindell LC, Nifong LW, Ferguson TB, et al. Impact of timing and surgical approach on outcomes after mitral valve regurgitation operations. Ann Thorac Surg. 2012;93(5):1462-8. doi:10.1016/j.athoracsur.2012.01.016. https://doi.org/10.1016/j.athoracsur.201...
]
|
447 |
377 |
1.1 |
3.8 |
0.7 |
3.4 |
28 |
26 |
04-Jun |
05-Aug |
ROB is associated with reduced neurologic events but longer CPB and ACx times |
Mihaljevic et al.[2525 Mihaljevic T, Jarrett CM, Gillinov AM, Williams SJ, DeVilliers PA, Stewart WJ, et al. Robotic repair of posterior mitral valve prolapse versus conventional approaches: potential realized. J Thorac Cardiovasc Surg. 2011;141(1):72-80. doi:10.1016/j.jtcvs.2010.09.008. https://doi.org/10.1016/j.jtcvs.2010.09....
]
|
261 |
498
|
0 |
0 |
1.8-2.7
|
0-3.1
|
19-26
|
26-35
|
4.2 |
5.2-5.8
|
ROB is as safe as the traditional approach, offers shorter LOS, and is less invasive |
Suri et al.[2626 Suri RM, Burkhart HM, Daly RC, Dearani JA, Park SJ, Sundt TM 3rd, et al. Robotic mitral valve repair for all prolapse subsets using techniques identical to open valvuloplasty: establishing the benchmark against which percutaneous interventions should be judged. J Thorac Cardiovasc Surg. 2011;142(5):970-9. doi:10.1016/j.jtcvs.2011.07.027. https://doi.org/10.1016/j.jtcvs.2011.07....
]
|
197 |
294 |
0 |
0 |
1.05 |
0 |
20 |
23 |
4.46 |
5.34 |
ROB offers effective correction of all categories of valve prolapse with shorter LOS and little adverse events |
Woo et al.[5151 Woo YJ, Nacke EA. Robotic minimally invasive mitral valve reconstruction yields less blood product transfusion and shorter length of stay. Surgery. 2006;140(2):263-7. doi:10.1016/j.surg.2006.05.003. https://doi.org/10.1016/j.surg.2006.05.0...
]
|
25 |
71 |
0 |
1.4 |
N/A |
N/A |
N/A |
N/A |
7.1 |
10.6 |
ROB offers a minimally invasive approach, shorter hospitalization, and reduced need for blood transfusion |
Kam et al.[5252 Kam JK, Cooray SD, Kam JK, Smith JA, Almeida AA. A cost-analysis study of robotic versus conventional mitral valve repair. Heart Lung Circ. 2010;19(7):413-8. doi:10.1016/j.hlc.2010.02.009. https://doi.org/10.1016/j.hlc.2010.02.00...
]
|
107 |
40 |
0 |
0 |
N/A |
N/A |
N/A |
N/A |
6.47 |
8.76 |
ROB can be performed with similar success rates and costs, but has slightly longer operative time |
Folliguet et al.[5353 Folliguet T, Vanhuyse F, Constantino X, Realli M, Laborde F. Mitral valve repair robotic versus sternotomy. Eur J Cardiothorac Surg. 2006;29(3):362-6. doi:10.1016/j.ejcts.2005.12.004. https://doi.org/10.1016/j.ejcts.2005.12....
]
|
25 |
25 |
0 |
0 |
4
|
8
|
N/A |
N/A |
7 |
9 |
ROB is comparable to sternotomy, but long-term follow-up is needed to determine durability of the repair |
Suri et al.[5454 Suri RM, Taggarse A, Burkhart HM, Daly RC, Mauermann W, Nishimura RA, et al. Robotic mitral valve repair for simple and complex degenerative disease: midterm clinical and echocardiographic quality outcomes. Circulation. 2015;132(21):1961-8. doi:10.1161/CIRCULATIONAHA.115.017792. https://doi.org/10.1161/CIRCULATIONAHA.1...
]
|
487 |
N/A |
0.2 |
N/A |
0.8 |
N/A |
N/A |
N/A |
3 |
N/A |
ROB offers excellent survival rates with infrequent complications regardless of repair complexity |
Murphy et al.[5555 Murphy DA, Moss E, Binongo J, Miller JS, Macheers SK, Sarin EL, et al. The expanding role of endoscopic robotics in mitral valve surgery: 1,257 consecutive procedures. Ann Thorac Surg. 2015;100(5):1675-82; discussion 1681-2. doi:10.1016/j.athoracsur.2015.05.068. https://doi.org/10.1016/j.athoracsur.201...
]
|
1257 |
N/A |
0.9 |
N/A |
0.7 |
N/A |
13.2 |
N/A |
4.9±4.4 |
N/A |
ROB surgery, including concomitant procedures, is safe and effective |
Ramzy et al.[5656 Ramzy D, Trento A, Cheng W, De Robertis MA, Mirocha J, Ruzza A, et al. Three hundred robotic-assisted mitral valve repairs: the Cedars-Sinai experience. J Thorac Cardiovasc Surg. 2014;147(1):228-35. doi:10.1016/j.jtcvs.2013.09.035. https://doi.org/10.1016/j.jtcvs.2013.09....
]
|
300 |
N/A |
0.3 |
N/A |
1.7 |
N/A |
5.7 |
N/A |
6.0±2.9 |
N/A |
ROB is effective, but presents a significant learning curve, and sustained training is required to stay proficient and ro reduce operating time |
Tatooles et al.[5757 Tatooles AJ, Pappas PS, Gordon PJ, Slaughter MS. Minimally invasive mitral valve repair using the da Vinci robotic system. Ann Thorac Surg. 2004;77(6):1978-82; discussion 1982-4. doi:10.1016/j.athoracsur.2003.11.024. https://doi.org/10.1016/j.athoracsur.200...
]
|
25 |
N/A |
0 |
N/A |
0 |
N/A |
20 |
N/A |
2.68 |
N/A |
While ROB can be performed, long-term follow-up is needed to determine durability of the repair |