Robotic Cardiac Surgery in Europe: Status 2020

dc.contributor.authorCerny, Stepan
dc.contributor.authorOosterlinck, Wouter
dc.contributor.authorOnan, Burak
dc.contributor.authorSingh, Sandeep
dc.contributor.authorSegers, Patrique
dc.contributor.authorBolcal, Cengiz
dc.contributor.authorAlhan, Cem
dc.contributor.authorNavarra, Emiliano
dc.contributor.authorPettinari, Matteo
dc.contributor.authorVan Praet, Frank
dc.contributor.authorDe Praetere, Herbert
dc.contributor.authorVojacek, Jan
dc.contributor.authorCebotaru, Theodor
dc.contributor.authorModi, Paul
dc.contributor.authorDoguet, Fabien
dc.contributor.authorFranke, Ulrich
dc.contributor.authorOuda, Ahmed
dc.contributor.authorMelly, Ludovic
dc.contributor.authorMalapert, Ghislain
dc.contributor.authorLabrousse, Louis
dc.contributor.authorGianoli, Monica
dc.contributor.authorAgnino, Alfonso
dc.contributor.authorPhilipsen, Tine
dc.contributor.authorJansens, Jean-Luc
dc.contributor.authorFolliguet, Thierry
dc.contributor.authorPalmen, Meindert
dc.contributor.authorPereda, Daniel
dc.contributor.authorMusumeci, Francesco
dc.contributor.authorSuwalski, Piotr
dc.contributor.authorCathenis, Koen
dc.contributor.authorvan den Eynde, Jef
dc.contributor.authorBonatti, Johannes
dc.contributor.authorCardioThoracic, European Robotic
dc.date.accessioned2023-02-21T12:42:48Z
dc.date.available2023-02-21T12:42:48Z
dc.date.issued2022-01-01
dc.description.abstractBackgroundEuropean 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. MethodsData were collected in an international anonymized registry of 26 European centers with a robotic cardiac surgery program. ResultsDuring 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. ConclusionRobotic 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.
dc.description.issueJAN 20
dc.description.volume8
dc.identifier.doi10.3389/fcvm.2021.827515
dc.identifier.urihttps://hdl.handle.net/11443/2849
dc.identifier.urihttp://dx.doi.org/10.3389/fcvm.2021.827515
dc.identifier.wosWOS:000750606400001
dc.publisherFRONTIERS MEDIA SA
dc.relation.ispartofFRONTIERS IN CARDIOVASCULAR MEDICINE
dc.subjectcardiac surgery
dc.subjectcoronary artery bypass grafting
dc.subjectkeyhole surgery
dc.subjectminimally invasive surgery
dc.subjectmitral valve surgery
dc.subjectrobotic surgery
dc.titleRobotic Cardiac Surgery in Europe: Status 2020
dc.typeArticle

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