A comparative study on the short- and medium-term effects of Leonardo da Vinci robot-assisted and traditional mitral valvuloplasty_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIU Yang ¹ , ZHANG Hong ² , HU Haoyu ² ,  YANG Sumin ²

1. Department of Medicine, Qingdao University, Qingdao, 266003, Shandong, P.R.China;
2. Department of Cardiovascular Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, P.R.China;

Corresponding author：

YANG Sumin, Email: yangsumin5850@sina.com

Keywords：

Da Vinci robot; mitral valvuloplasty; short- and medium-term curative effect; surgery

DOI：

10.7507/1007-4848.202003033

Video：

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Objective To compare short- and medium-term effects of Leonardo da Vinci robot-assisted and traditional mitral valvuloplasty.Methods We conducted a retrospective analysis of 74 patients who underwent mitral valvuloplasty in our hospital from January 2015 to March 2017. The patients were divided into two groups according to the mode of operation: a da Vinci group (n=29, 13 males, 16 females at an average age of 52 years) and a routine group (n=45, 18 males, 27 females at an average age of 53 years). The perioperative data of patients in the two groups were compared and analyzed.Results There was no significant difference in sex, age, weight, height, body mass index (BMI), cardiac function (NYHA), hypertension, diabetes, postoperative blood transfusion and postoperative complications between the two groups (P>0.05). The tracheal intubation time, ICU retention time, hospital stay time, blood loss and postoperative drainage in the da Vinci group were shorter or less than those in the routine group (P<0.05). The operation time, cardiopulmonary bypass time and aortic clamping time in the da Vinci group were longer than those in the routine group (P<0.05). Different surgical procedures had no significant effect on left atrial diameter (LAD), left ventricular end-diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF) and mitral regurgitation (MR) 3 years after operation. There was no interaction between the mode of operation and the time of follow-up. There was no significant difference in echocardiographic evaluation in the same period (P>0.05).Conclusion Da Vinci operation shortens the rehabilitation process of patients compared with traditional surgery. For short- and medium-term follow-up results, there is no difference between Leonardo da Vinci and traditional mitral valve surgeries, and the clinical effect of da Vinci robot-assisted mitral valvuloplasty is satisfactory, which is worthy of further clinical promotion.

Citation： LIU Yang, ZHANG Hong, HU Haoyu, YANG Sumin. A comparative study on the short- and medium-term effects of Leonardo da Vinci robot-assisted and traditional mitral valvuloplasty. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(10): 1161-1167. doi: 10.7507/1007-4848.202003033 Copy

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11.	Sternlieb JJ. Exploring the risk of early dismissal following cardiac operations. Cardiovasc Surg, 1987, 28(2): 120-123.
12.	魏来, 沈金强, 夏利民, 等. 达芬奇机器人手术系统在 51 例心脏手术中的应用. 复旦学报(医学版), 2013, 40(6): 699-703.
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15.	白一帆. 成人心脏瓣膜病外科治疗 20 年回顾及危险因素变迁. 第二军医大学, 2012.
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17.	李进华, 戴江, 韩博, 等. 小切口在成人心脏外科中的应用. 心肺血管病杂志, 2019, 38(4): 395-398.

1. Carpentier A, Loulmet D, Aupecle B, <italic>et al</italic>. Computer assisted open-heart surgery. First case operated on with success. C R Acad Sci Ⅲ, 1998, 321(5): 437-442.
2. 高长青, 杨明, 肖苍松, 等. 机器人二尖瓣成形术的临床应用. 中华外科杂志, 2011, 49(7): 641-644.
3. 杨明, 高长青. 机器人心脏手术的应用现状. 中国微创外科杂志, 2012, 12(7): 586-589, 593.
4. Chitwood WR, Rodriguez E, Chu MW, <italic>et al</italic>. Robotic mitral valve repairs in 300 patients: a single-center experience. Thorac Cardiovasc Surg, 2008, 136(2): 436-441.
5. Gao CQ, Yang M, Xiao CS, <italic>et al</italic>. Robotically assisted mitral valve replacement. Thoracic Cardiovasc Surg, 2012, 143(1): 64-67.
6. Nifong LW, Rodriguez E, Jr WRC. 540 Consecutive robotic mitral valve repairs including concomitant Atrial Fibrillation Cryoablation. Ann Thorac Surg, 2012, 94(1): 38-43.
7. Takashi K, Satsuki F, Yusuke S, et al. Early results of robotically assisted mitral valve repair in a single institution: report of the first 100 cases. Gen Thorac Cardiovasc Surg, 2020. [Epub ahead of print].
8. 李道麟, 董平栓, 杜来景, 等. 心脏瓣膜置换术后肺部感染的相关危险因素分析. 中华医院感染学杂志, 2013, 23(16): 3908-3910.
9. Turner M, Botti M, Watts R, <italic>et al</italic>. Intermediate and long-term outcomes following robotic cardiac surgery in an Australian cohort. Heart, Lung and Circulation, 2007, 16(supp-S2): 599.
10. Mihaljevic T, Jarrett CM, Gillinov AM, <italic>et al</italic>. Robotic repair of posterior mitral valve prolapse versus conventional approaches: Potential realized. Thoracic CardiovascSurg, 2011, 141(1): 72-80.
11. Sternlieb JJ. Exploring the risk of early dismissal following cardiac operations. Cardiovasc Surg, 1987, 28(2): 120-123.
12. 魏来, 沈金强, 夏利民, 等. 达芬奇机器人手术系统在 51 例心脏手术中的应用. 复旦学报(医学版), 2013, 40(6): 699-703.
13. Lapenna E, De BM, Torracca L, <italic>et al</italic>. Cavernous hemangioma of the tricuspid valve: minimally invasive surgical resection. Ann Thorac Surg, 2003, 76(6): 2097-2099.
14. 王潇, 陶凉. 右胸微创小切口二尖瓣置换术与传统二尖瓣置换术的对比分析. 中国胸心血管外科临床杂志, 2013, 20(2): 139-143.
15. 白一帆. 成人心脏瓣膜病外科治疗 20 年回顾及危险因素变迁. 第二军医大学, 2012.
16. Hisato T, Yosuke H, Kouki N, <italic>et al</italic>. Meta-analysis of propensity matched studies of robotic versus conventional mitral valve surgery. J Cardiol, 2020, 75: 177-181.
17. 李进华, 戴江, 韩博, 等. 小切口在成人心脏外科中的应用. 心肺血管病杂志, 2019, 38(4): 395-398.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

A comparative study on the short- and medium-term effects of Leonardo da Vinci robot-assisted and traditional mitral valvuloplasty

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