Endoscopic Robotic Mitral Valve Repair with All Percutaneous Cannulation: The Ultimate Minimally Invasive Operation
Thomas Jefferson University, Philadelphia, PA, USA.
OBJECTIVE: We were determined to develop robotic cardiac surgery to the point where we used only ports and all percutaneous cannulation.
METHODS: We have done 50 patients thus far using all percutaneous cannulation. All patients underwent mitral valve repair using 4 da vinci 8mm ports and a 12 mm working port. All patients underwent percutaneous cannulation using ultrasound, fluoroscopy, and TEE guidance. Most patients were done with the endoballoon.
We have no deaths or major vascular complications. We did have one plaque lifted in the femoral which required cutdown and repair without sequela. The average length of stay was 4 days but the last 25 patients have had an average length of stay of 3 days.
All percutaneous cannulation combined with a totally endoscopic robotic approach allows mitral valve surgery to be done with a 12 mm port as the large incision in the body, facilitating fewer groin complications, less pain, and earlier discharge.
Back to 2019 Program