首页|Robert Bosch Hospital Reports Findings in Robotics (A propensity matched comparison of robotic vs. traditional minimal access ap- proach for mitral valve repair with concomitant cryoablation)
Robert Bosch Hospital Reports Findings in Robotics (A propensity matched comparison of robotic vs. traditional minimal access ap- proach for mitral valve repair with concomitant cryoablation)
扫码查看
点击上方二维码区域，可以放大扫码查看
原文链接
NETL
NSTL
2024 FEB 02 (NewsRx) – By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News – New research on Robotics is the subject of a report. According to news reporting from Stuttgart, Germany, by NewsRx journalists, research stated, “Atrial fibrillation (AF) occurs frequently in patients with mitral valve disease. Results of cryoablation concomitant with either minimally invasive video-assisted [minimally invasive mitral valve surgery (MIMVS)] or with robotic-assisted (RMV) mitral valve surgery have previously been separately reported.” The news correspondents obtained a quote from the research from Robert Bosch Hospital, “However, there are up-to-date no studies comparing the two procedures in terms of safety, efficacy, and mid-term follow-up. Between January 2017 and March 2022, 294 patients underwent MIMVS, and 187 patients underwent RMV at our institution. After 1:1 propensity score matching using 22 preoperative variables, the study included 104 patients. Group 1 (MIMVS) included 52 patients operated on between 2017- 2022 using a minimally invasive video-assisted right-sided mini-thoracotomy. Group 2 (RMV) included 52 patients operated on between 2019-2021 using a robotic-assisted approach. Early and mid-term outcomes were assessed, including maintenance of sinus rhythm. Follow-up was 100% complete at a median follow- up of 2 years. For the entire propensity matched cohort, the median EuroSCORE Ⅱ was 3.14 [interquartile range (IQR), 1.93-4.99], the median age was 68 (IQR, 61-74) years, and two thirds of the patients were male. Most (72.1%) underwent mitral valve surgery, and 26.9% had an additional tricuspid procedure. Only four patients underwent mitral valve replacement (3.8%). The majority (87.5%) received a left-sided atrial Maze and 12.5% a bi-atrial Maze. The left atrial appendage was occluded in 72.1% cases. Overall, there were no significant differences between the two propensity matched groups in baseline demographics or intra-operative characteristics. Similarly, there were no significant differences in the post-operative short and mid-term outcomes between the two groups. There were no in-hospital or 30-day deaths. At the mid-term survival was similar between groups, log-rank test P=0.056. Maintenance of sinus rhythm at follow-up was 76%. Mitral or double valve repair with concomitant cryoablation can be safely performed with either a MIMVS or RMV approach.”
StuttgartGermanyEuropeEmerging TechnologiesHealth and MedicineMachine LearningRoboticsRobotsSurgery
NETL
NSTL
