Robotic‐assisted coronary artery bypass surgery: an 18‐year single‐centre experience. Issue 3 (19th January 2018)

• Record Type: Journal Article
• Authors: Giambruno, Vincenzo; Chu, Michael W.; Fox, Stephanie; Swinamer, Stuart A.; Rayman, Reiza; Markova, Zarina; Barnfield, Rebecca; Cooper, Mitchell; Boyd, Douglas W.; Menkis, Alan; Kiaii, Bob
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 14:Issue 3(2018)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2018-01-19
• Subjects: CABG -- coronary revascularization -- robotic surgery; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.1891
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: Background: Minimally invasive robot‐assisted direct coronary artery bypass (RADCAB) has emerged as a feasible minimally invasive surgical technique for revascularization that might offer several potential advantages over conventional approaches. We present our 18‐year experience in RADCAB. Methods: Between February 1998 and February 2016, 605 patients underwent RADCAB. Patients underwent post‐procedural selective graft patency assessment using cardiac catheterization. Results: The mortality rate was 0.3%. The rate of conversion to sternotomy for any cause was reduced from 16.0% of the first 200 cases to 6.9% of the last 405 patients. The patency rate of the LITA‐to‐LAD anastomosis was 97.4%. Surgical re‐exploration for bleeding occurred in 1.8% of patients, and the transfusion rate was 9.2%. Average ICU stay was 1.2 ± 1.4 days, and average hospital stay was 4.8 ± 2.9 days. Conclusions: Robot‐assisted coronary artery bypass grafting is safe, feasible and it seems to represent an effective alternative to traditional coronary artery bypass grafting in selected patients.