Totally Endoscopic Robotic‐Assisted Cardiac Surgery in Children

• DOI: 10.1111/aor.13357
• Publication Date: 2018-09-12T14:44:01Z
• Authors: Burak Onan; Unal Aydin; Ersin Kadirogullari; Ismihan Selen Onan; Onur Sen
• Keywords: Male; Adolescent; Endoscopy; Heart Septal Defects, Atrial; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Robotic Surgical Procedures; Pulmonary Veins; Humans; Mitral Valve; Female; Tricuspid Valve; Cardiac Surgical Procedures

Robotic surgery for intracardiac pathologies in children is relatively uncommon. This study presents our initial experience with robotic-assisted cardiac children. We also present the feasibility and safety of robotic From May 2013 to June 2018, 30 underwent totally endoscopic atrial septal defect closure (n = 22), right-sided 5) or left-sided 1) partial anomalous pulmonary venous connection repair, tricuspid valve annuloplasty 4), mitral replacement 2, due Barlow rheumatic diseases). The mean age patients was 16.1 ± 1.1 years (range, 13-17) weight 56.7 0.1 kg 42-77). Associated anomalies included left persistent superior vena cava 2) absence innominate vein 1). All procedures were completed uneventfully. Operation time 4.1 0.6 h. No patient converted thoracotomy sternotomy. Cardiopulmonary bypass aortic clamping times 90.6 28.0 45-136) 48.6 24.9 15-94) min, respectively. ventilation 3.7 1.2 h hospital stay 3.3 0.7 days. right phrenic nerve injury, hemorrhage, blood transfusion noted. One had postoperative pneumothorax, 1 supraventricular arrhythmia. Follow-up a 1.7 1-52 months). Patients healthy no residual observed on echocardiography examinations. There operative follow-up mortality. Robotically assisted feasible safe approach selected pediatric patients. In future, new generation devices may offer an alternative surgical younger lower body weight.