KMID : 1164620220550010055
|
|
Korean Journal of Thoracic and Cardiovascular Surgery 2022 Volume.55 No. 1 p.55 ~ p.60
|
|
Robot-Assisted Repair of Atrial Septal Defect: A Comparison of Beating and Non-Beating Heart Surgery
|
|
Yun Tae-Young
Kim Hak-Ju Sohn Bong-Yeon Chang Hyoung-Woo Lim Cheong Park Kay-Hyun
|
|
Abstract
|
|
|
Background: Robot-assisted repair of atrial septal defect (ASD) can be performed under either beating-heart or non-beating-heart conditions. However, the risk of cerebral air embolism (i.e., stroke) is a concern in the beating-heart approach. This study aimed to compare the outcomes of beating- and non-beating-heart approaches in robot-assisted ASD repair.
Methods: From 2010 to 2019, a total of 45 patients (mean age, 43.4¡¾14.6 years; range, 19?79 years) underwent ASD repair using the da Vinci robotic surgical system. Twenty-seven of these cases were performed on a beating heart (beating-heart group, n=27) and the other cases were performed on an arrested or fibrillating heart (non-beating-heart group, n=18). Cardiopulmonary bypass (CPB) was achieved via cannulation of the femoral vessels and the right internal jugular vein in all patients.
Results: Complete ASD closure was verified using intraoperative transesophageal echocardiography in all patients. Conversion to open surgery was not performed in any cases, and there were no major complications. All patients recovered from anesthesia without any immediate postoperative neurologic symptoms. In a subgroup analysis of isolated ASD patch repair (beating-heart group: n=22 vs. non-beating-heart group: n=5), the operation time and CPB time were shorter in the beating-heart group (234¡¾38 vs. 253¡¾29 minutes, p=0.133 and 113¡¾28 vs. 143¡¾29 minutes, p=0.034, respectively).
Conclusion: Robot-assisted ASD repair can be safely performed with the beating-heart approach. No additional risk in terms of cerebral embolism was found in the beating-heart group.
|
|
KEYWORD
|
|
Robotic surgical procedures, Minimally invasive surgical procedures, Atrial heart septal defects
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|