Efficacy of robot-assisted surgery system versus total thoracoscopy for atrial septal defect repair on a beating heart
- VernacularTitle:机器人辅助与全胸腔镜下不停跳房间隔缺损修补术的疗效观察
- Author:
LI Ning
1
;
ZHANG Chengxin
1
;
GE Shenglin
1
;
XU Jinguo
1
;
LIU Zhuang
1
;
LI Yanli
1
Author Information
1. Department of Cardiac Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, P.R.China
- Publication Type:Journal Article
- Keywords:
Robot;
aortic valve replacement;
minimally invasive cardiac surgery;
atrial septal defect repair
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(02):168-172
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the short-term therapeutic outcomes of atrial septal defects (ASD) repair using on-pump beating-heart technique assisted by robotic surgery system (Da Vinci Si) or thoracoscopy. Methods Clinical data of 50 patients undergoing ASD repair at the First Affiliated Hospital of Anhui Medical University from January 2015 to December 2018 were retrospectively analyzed. According to the different surgical methods, patients were divided into a robot group and a total thoracoscopy group. In the robot group, there were 35 patients including 11 males and 24 females, at an average age of 42.1±16.8 years, and in the total thoracoscopy group there were 15 patients including 8 males and 7 females at an average age of 38.4±10.9 years. During follow-up, the left ventricular ejection fraction, left and right atrial diameter, and right ventricular end-diastolic diameter in the cardiac Doppler echocardiography were recorded. The operation time, extracorporeal circulation time, ventilation time, postoperative ICU stay, postoperative hospital stay, perioperative pleural drainage and early complications were compared between the two groups. Results In the perioperative period, the robot group had less operation time (3.8±0.3 h vs. 6.1±1.4 h), extracorporeal circulation time (72.3 ± 10.4 min vs. 139.1 ± 32.8 min), ventilation time (5.5±1.2 h vs. 9.5 ± 2.1 h), postoperative hospital stay (6.7±0.5 d vs. 9.8 ± 0.6 d) and thoracic drainage (253.4±26.8 mL vs. 289.3 ± 29.5 mL) than the total thoracoscopy group (P<0.05), while the postoperative complications were not statistically significant between the two groups (P>0.05). All patients were reviewed by color Doppler ultrasound at 1 month after operation. The postoperative dilated right atrium, right ventricle and left atrium were smaller than those before surgery. Conclusion For patients undergoing ASD repair, robot-assisted and total thoracoscopy can achieve good results, but the robot group has more advantages in terms of operation time, extracorporeal circulation time, ventilation time, postoperative hospital stay and thoracic drainage.
