Key result
Robotic mitral valve surgery yielded similar outcomes and operative times compared to sternotomy and minimally invasive approaches, while offering benefits like shorter hospital stays and less pain.
Robotic mitral valve surgery is a viable alternative to conventional approaches, offering similar outcomes with the benefits of a less invasive procedure.
May support robotic mitral valve repair in experienced centers; leaves open need for randomized trials to confirm durability and generalizability.
Robotic mitral valve surgery is the most common robotic cardiac procedure performed today. Benefits include smaller, less invasive incisions resulting in less pain, shorter length of hospital stay, improved cosmesis, quicker return to preoperative level of functional activity, and decreased blood transfusion requirements. The history and evolution of robotic mitral valve surgery is detailed in this article. Our institution has performed over 800 robotic mitral valve surgeries, and our technique and outcomes are described. Outcomes and operative times are similar to that for sternotomy and minimally invasive approaches to mitral valve surgery. The benefits and limitations of robotic mitral valve surgery are compared with conventional approaches, and future directions are also discussed.
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Bush et al. (2013) conducted a review in Mitral valve disease requiring surgery (n=800). Robotic mitral valve surgery vs. Sternotomy and minimally invasive approaches was evaluated. Robotic mitral valve surgery yielded similar outcomes and operative times compared to sternotomy and minimally invasive approaches, while offering benefits like shorter hospital stays and less pain.
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