Department of Cardiovascular Surgery, Daping Hospital, Yuzhong District, Chongqing, China.
J Cardiothorac Surg. 2022 Jun 13;17(1):155. doi: 10.1186/s13019-022-01899-3.
To evaluate the role of totally endoscopic robotic aortic valve replacement in cardiac surgery.
Four cases of totally robotic aortic valve replacement (AVR) were conducted from December 2016 to July 2018. All operations were completed with the Da Vinci robot Si™ system (intuitive Surgical, Inc. Sunnyvale, C.A, USA). Patients were male, with a mean age of 42.8 ± 6.2 years (range 32-49).
AVR was completed with the Da Vinci Si™ system (intuitive Surgical, Inc. Sunnyvale, CA, USA). There was no mortality and no procedure-related morbidity. The mean cardiopulmonary bypass and mean cross-clamp time was 252 ± 13.6 min and 178.8 ± 17.1 min, respectively. The mean ICU time was 78.8 ± 27.1 h, and the mean hospital stay was 15 ± 3.5 d. During a mean follow-up of 3 years and 6 months, the patients returned to normal function, and no heart murmur was found. Compared with the operation, the body image score of the four patients increased after the operation, and the hospital anxiety and depression scale scores decreased, indicating that the patient's condition had been alleviated to a certain extent.
Totally endoscopic robotic AVR is a feasible and viable choice for patients but requires further improvement for broader use.
评估全内窥镜机器人主动脉瓣置换术在心脏外科中的作用。
从 2016 年 12 月至 2018 年 7 月，共进行了 4 例全机器人主动脉瓣置换术（AVR）。所有手术均使用达芬奇机器人 Si 系统（直觉外科公司，加利福尼亚州桑尼维尔）完成。患者均为男性，平均年龄为 42.8±6.2 岁（范围 32-49 岁）。
使用达芬奇 Si 系统（直觉外科公司，加利福尼亚州桑尼维尔）完成了 AVR。无死亡病例，无手术相关并发症。体外循环和主动脉阻断时间的平均值分别为 252±13.6 分钟和 178.8±17.1 分钟。平均 ICU 时间为 78.8±27.1 小时，平均住院时间为 15±3.5 天。在 3 年 6 个月的平均随访期间，患者恢复正常功能，未发现心杂音。与手术相比，4 名患者术后的身体形象评分增加，医院焦虑和抑郁量表评分降低，表明患者的病情在一定程度上得到了缓解。
全内窥镜机器人 AVR 是一种可行且可行的选择，但需要进一步改进以更广泛地应用。
