Analysis Of The First Hundred Robotic Cardiac Surgery Cases
Gokhan Erol, Murat Kadan, Mehmet Emin Ince, Kubilay Karabacak, Suat Doganci, Vedat Yildirim, Cengiz Bolcal, Ufuk Demirkilic.
Gulhane Education and Research Hospital, Ankara, Turkey.
Objective Robotic cardiac surgery becomes more popular as all robotic procedures in our country in last 5 years. Our institution is one of the initial centers for robotic cardiac surgical interventions in Turkey. In this report, we aimed to share our experiences at various robotic cardiac surgical interventions. (Primum Type, Secundum Type, Superior Caval Type, Inferior Caval Type, Unroofed Coronary Sinus Type, and Combined Atrial Septal Defects Repairs, Mitral Valve Replacement∕Repair, Ventricular Septal Defect Repair, MIBCAB, TECAP, Myxoma Excision, Sub-aortic Membrane Resection, Pericardial Cyst Excision) Into our literature review Robotic Resection of Subaortic Membrane, Robotic Repair of Primum type Atrial Septal Defect and Robotic Repair of Gerbode Defect were the initial cases in the literature. Methods Between November 2014-December 2017, 100 patients with various diagnosis were operated in Gulhane Education and Research Hospital. 37 of them were female. Mean age of patients was 35,99±16,66 (16-76). All the operations were performed via Robotic Cardiac Surgery System. Results Mean X-clamp time was 108,05±46,79 min. Mean perfusion time was 180,89±73,84 min. There were two re-operations secondary to postoperative bleeding. These re-operations were performed at same thoracotomy incision. One patient was re-operated, secondary to atrial myxoma recurrence at 6th year of first operation. Surgical mortality was 0%, and hospital stay mortality was 2%. Two patients were died while postoperative period; one of them had mental retardation, and cannot adapt the post-operative period. The other patient had severe lung disease, and could not extubate. Demographic and surgical variables were given in table. Conclusions Robotic heart surgery is safe and feasible method for appropriate cardiac surgery candidates. New-beginning centers should have proctor initially, at least in first 20 cases. Learning curve is another key point as in all robotic interventions.
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