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Int J Med Robot. 2018 Jun;14(3):e1891. doi: 10.1002/rcs.1891. Epub 2018 Jan 19.

Robotic-assisted coronary artery bypass surgery: an 18-year single-centre experience.

Author information

1
Division of cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.
2
Division of Cardiac Surgery, University of California Davis, Sacramento, California, USA.
3
Division of Cardiac Surgery, Saint Boniface Hospital, Winnipeg, Manitoba, Canada.

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.

KEYWORDS:

CABG; coronary revascularization; robotic surgery

PMID:
29349908
DOI:
10.1002/rcs.1891
[Indexed for MEDLINE]

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