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Les e-mémoires de l'Académie Nationale de Chirurgie

Experience of Robotic Cardiac Surgery (à mettre en premier hors séance uro)Experience of Robotic Cardiac Surgery

GAO C

Séance du mercredi 27 novembre 2013 (THERAPEUTIQUE INTERVENTIONNELLE EN UROLOGIE)

Résumé

AbstractSix hundred and fifty patients underwent robotic cardiac surgery from 2007 to 2013 in PLA General Hospital. The procedures included totally endoscopic coronary artery bypass graft on beating heart, endoscopic atraumatic coronary bypass graft on beating heart, hybrid robotic coronary artery bypass graft, mitral valve repair or replacement, totally robotic myxoma excision, totally endoscopic atrial septal defect closure on beating heart, tricuspid valve repair, totally robotic repair of partial anomalous pulmonary veins connection with pulmonary stenosis, and VSD repair. The procedures were completed with the da Vinci S or Si robot. The mean age was 58.8±9.4 years old (33 to 78 years old). All patients had successful operations. There were no operative deaths. One patient was reexplored for bleeding in the trocar site, 1 patient had hemolysis after mitral valve repair. There was no intraoperative conversion to alternative approach, and there were no da Vinci system-related adverse events. All the cases were followed up with excellent results. Our study shows that da Vinci cardiac surgery is safe procedure in selected patients and the surgical results are excellent, and we believe that the robotic cardiac surgery is truly minimally invasive cardiac surgery in a well trained robotic team.Intervenant : Daniel LOISANCE (Paris)