Eastern Cardiothoracic Surgical Society

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Endoscopic Robotic Mitral Valve Repair with All Percutaneous Cannulation: The Ultimate Minimally Invasive Operation
Roh Morris.
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.
RESULTS:
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.
CONCLUSIONS:
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.


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