Key result
Robotic surgery enables the first reported totally endoscopic port-access reoperative mitral valve replacement.
Why the study?
Minimally invasive, robotic-assisted cardiac surgery has been mainly limited to primary, isolated procedures, with no prior reports on reoperative mitral valve replacement.
Case Report
Demonstrates the initial feasibility of a robotic-assisted, totally endoscopic approach for redo mitral valve replacement.
Supports feasibility of robotic totally endoscopic redo mitral valve replacement in one case; leaves open broader safety and efficacy questions.
Minimally invasive, robotic-assisted cardiac surgery has been shown to decrease transfusion rates, decrease wound infection rates, shorten hospital length of stay, and allow for a faster return to full activity compared with traditional sternotomy approaches. However, its application has chiefly been limited to primary, isolated procedures such as primary mitral valve repair or replacement. We describe the first reported use of a robotic surgery platform to perform reoperative mitral valve replacement using a minimally invasive, totally endoscopic, port-access approach.
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Patel et al. (2017) conducted a case report in Reoperative mitral valve replacement. Robotic-assisted minimally invasive, totally endoscopic, port-access approach was evaluated. A robotic surgery platform was successfully used to perform the first reported reoperative mitral valve replacement using a minimally invasive, totally endoscopic, port-access approach.
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