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ROBOTIC CARDIAC SURGERY: IS IT RESEVRED TO ONLY LOW RISK PATIENT ONLY?
Feras F. Khaliel, Zainab Alayed, Faisal Fallatah, Shahid Khan, Tahir Mohammed, Adel Aly, Naji Alkholaif, Noura Alowais, Mohammed Alamri.
King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.

OBJECTIVE:
Robotic cardiac surgery is a sophisticated procedure which has been limited to certain extra-cardiac and some intra-cardiac low risk surgery. Our study to determine medium- and high-risk outcome patients. METHODS:
Between to Feb.2019, June2021, 158 patients underwent robotic cardiac surgery (intra and extra-cardiac). Mean age 48±14yrs, 34% were male. Mean BMI 29±7.3kg/m2. History of DM 49%, HTN 58%, Severe PHTN 64%, Chronic A. Fib. 55%, CKD & Dialysis 11%, 4%, respectively. Previous Stroke 12%, CHF 17% and STS score of 1-4 in 83%, 5-8 in 9.5%, >8% in 6.5%. Previous cardiac surgery in 12.6%. RESULTS:
Hospital and 2-year Survival were 98% & 96%, respectively. Freedom of blood transfusions in 30%, and <3 units in 42%. Median LOS 6 days and LOS<7days in 56% . Ultrafast track and Fast track extubation were in 23.4%, 57%, respectively. Postop Stroke 2%, SSI 8.9%, new incidence of A. Fib 19%, AKI and dialysis 17%, 3.8%, respectively. Weaning CPB on ECMO 3.2%. CONCLUSIONS:
Despite the high-risk patient cohort, obesity and previous history cardiac surgery robotic cardiac surgery improves patient’s postop journey, LOS, morbidity and mortality, once learning is achieved.


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