Patient selection in robotic mitral valve surgery.

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Marc Gillinov, Tarek Malas, Mohamad Rabbani, Per Wierup
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引用次数: 0

Abstract

Purpose of review: National databases reveal increased application of the surgical robot to facilitate mitral valve repair. Single-center and multiinstitutional studies confirm that excellent results are achievable with robotic mitral valve repair. However, not all patients with degenerative mitral valve disease are appropriate candidates for robotic mitral valve repair.

Recent findings: With increased experience, surgeons have successfully applied the surgical robot to perform mitral valve repair in conjunction with concomitant procedures. Concurrently, selection criteria have expanded, enabling more patients to enjoy the benefits of a less invasive approach. A small group of patient-related and anatomic factors are best managed via a standard sternal approach.

Summary: Approaching 15% of all mitral valve repairs for degenerative disease, robotic mitral valve repair has reached an inflection point in its growth. Well tolerated application of this technology requires understanding of both its advantages and its limitations.

机器人二尖瓣手术的患者选择。
综述目的:国家数据库显示手术机器人在二尖瓣修复中的应用越来越多。单中心和多机构的研究证实,机器人二尖瓣修复可以取得优异的效果。然而,并非所有退行性二尖瓣疾病患者都适合机器人二尖瓣修复。最近的发现:随着经验的增加,外科医生已经成功地将手术机器人应用于二尖瓣修复和伴随手术。同时,选择标准也扩大了,使更多的患者能够享受到微创手术的好处。一小部分患者相关和解剖因素最好通过标准胸骨入路处理。摘要:在所有退行性疾病的二尖瓣修复中,接近15%,机器人二尖瓣修复已达到其增长的拐点。要想很好地应用这项技术,就需要了解它的优点和局限性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Opinion in Cardiology
Current Opinion in Cardiology 医学-心血管系统
CiteScore
4.20
自引率
4.30%
发文量
78
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.
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