机器人二尖瓣手术:最新进展和结果。

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Makoto Hibino,Douglas A Murphy,Michael E Halkos
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引用次数: 0

摘要

综述目的本综述探讨了机器人心脏手术的最新进展,特别关注其在各种二尖瓣手术中的应用。最新发现STS数据库显示,从2015年到2021年,机器人二尖瓣修复术激增了30%,与此同时,基于胸骨切开术的修复术却出现了下降。与胸骨切开术和胸腔切开术相比,机器人二尖瓣修复术始终显示出有效和安全的结果,死亡率相当,但发病风险较低。机器人方法显示出较低的瓣膜置换转换率、较短的重症监护室住院时间以及较低的30天再入院率。对于经验丰富的项目,机器人技术被证明可用于各种病症,包括风湿性心脏瓣膜病、感染性心内膜炎、缺血性心肌病和二尖瓣环钙化等需要进行瓣膜置换的病症。最近的证据表明,机器人方法在二尖瓣手术中的应用越来越广泛,其疗效显著,死亡率相当,但发病风险较低。机器人技术在各种病理和患者情况下都能取得良好的疗效,预示着二尖瓣介入手术的模式可能发生转变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Robotic mitral surgery: recent advances and outcomes.
PURPOSE OF REVIEW This review explores recent advancements in robotic cardiac surgery, specifically focusing on its application in diverse mitral valve surgeries. The aim is to provide an overview of current clinical practices and supporting evidence in this evolving field. RECENT FINDINGS A literature review indicates a 30% surge in robotic mitral valve repair from 2015 to 2021, paralleled by a decline in sternotomy-based repair per the STS database. Robotic mitral valve repair consistently shows effective and safe outcomes, with comparable mortality but lower morbidity risks than sternotomy and thoracotomy. The robotic approach exhibits lower conversion to valve replacement, shorter ICU stays, and reduced 30-day readmissions. For experienced programs, robotic techniques prove versatile in various pathologies, including rheumatic heart valve disease, infective endocarditis, ischemic cardiomyopathy, and mitral annular calcification necessitating valve replacement. Literature supports their selective use in high-risk scenarios, including redo surgeries and elderly patients. SUMMARY Recent evidence supports the growing use of robotic approaches in mitral valve surgery, highlighting their efficacy with comparable mortality rates but lower morbidity risks. Robotic techniques consistently yield positive outcomes across various pathologies and patient profiles, signaling a potential paradigm shift in mitral valve interventions.
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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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