Key Points
- Examine the technical evolution of minimally invasive mitral valve surgery from port access methods to fully robotic-assisted approaches and evaluate their clinical impact.
- Narrative review evaluating technical transitions and clinical adoption of minimally invasive approaches for mitral valve repair and replacement.
- Synthesis of procedural evolution spanning port access techniques, video-enhanced valve surgery, and fully robotic-assisted platforms.
- Robotic assistance achieves shorter operating times and provides an effective procedural pathway toward fully robotic intracardiac interventions.
- Minimally invasive approaches qualitatively decrease postoperative pain, improve cosmetic outcomes, shorten hospital stays, and accelerate return to normal activities without requiring wide surgical exposure.
Structured PICO
IInterventionMinimally invasive mitral valve surgery, including Port Access and fully robotic-assisted techniques
This review highlights the evolution of minimally invasive mitral valve surgery, emphasizing the potential of robotic-assisted techniques to reduce hospital stay, improve cosmesis, and challenge traditional surgical dogma.