The role of robotics in cardiac surgery: a systematic review

  title={The role of robotics in cardiac surgery: a systematic review},
  author={Ilias P. Doulamis and Eleftherios Spartalis and Nikolaos Machairas and Dimitrios Schizas and Dimitrios Patsouras and Michael Spartalis and Diamantis I. Tsilimigras and Demetrios Moris and Dimitrios C. Iliopoulos and Aspasia Tzani and Dimitrios Dimitroulis and Nikolaos I Nikiteas},
  journal={Journal of Robotic Surgery},
The application of robotic technologies in cardiac surgery has provided the possibility for minimally invasive access inside the thorax and avoidance of a median sternotomy. Given that current evidence seems promising, we sought to systematically review the existing literature regarding the efficacy, feasibility and mortality rate associated with robotic cardiac surgery. The PubMed and Cochrane bibliographical databases were thoroughly searched for the following MeSH terms: “robotic”, “cardiac… 
The impact of body mass index on outcomes in robotic colorectal surgery: a single-centre experience
The results suggest that RCRS is safe and feasible in obese patients and may be superior to LCRS in this cohort, where the literature suggests a higher complication rate compared to non-obese patients.
Safe implementation of robotic-assisted minimally invasive direct coronary artery bypass: application of learning curves and cumulative sum analysis.
The results suggest that integration of RA-MIDCAB in the surgical landscape can be safely achieved and complication rates can quickly be reduced below those expected in traditional CABG.
A Review of Robotic Mitral Valve Surgery
The outcomes, durability, and cost effectiveness of the robotic approach to mitral valve surgery are described and reviewed to explore the concerns limiting proliferation.
Robotic Cardiac Surgery.
  • J. Hemli, N. Patel
  • Medicine, Engineering
    The Surgical clinics of North America
  • 2020
Robot-Assisted Repair of Atrial Septal Defect: A Comparison of Beating and Non-Beating Heart Surgery
Robot-assisted ASD repair can be safely performed with the beating-heart approach, and no additional risk in terms of cerebral embolism was found in the beat-heart group.
Robotic Coronary Artery Bypass Grafting: The Whole 9 Yards
Robotic Coronary Artery Artery Bypass Grafting: The Whole 9 Yards is presented.
Robotic‐assisted coronary artery bypass surgery: an 18‐year single‐centre experience
  • V. Giambruno, M. Chu, B. Kiaii
  • Medicine
    The international journal of medical robotics + computer assisted surgery : MRCAS
  • 2018
RADCAB has emerged as a feasible minimally invasive surgical technique for revascularization that might offer several potential advantages over conventional approaches and the 18‐year experience in RADCAB is presented.
Robotertechniken in der Herzchirurgie
Robotic techniques are used in cardiac surgery in the subdisciplines of coronary artery bypass and mitral valve surgery as well as for other procedures associated withMitral valve diseases; however, so far such techniques have been restricted to a few highly specialized centers only.
A Brief History of Robotics in Surgery
Adoption in orthopedic surgery is only recently, but rapidly, expanding and likely will remain on the leading edge of the robotic revolution.


The state of robotic cardiac surgery in Europe.
Coronary robotic surgery in Europe has been performed safely and effectively with very few perioperative complications in the last 15 years and mitral surgery has been developed later with increasing applications of this technology only in theLast 5-6 years.
Systematic review of robotic minimally invasive mitral valve surgery.
All subtypes of mitral valve prolapse are repairable with robotic techniques, and novel techniques such as the Cor-Knot, Nitinol clips or running sutures may reduce the time required.
Comparison of Endoscopic Robotic versus Sternotomy Approach for the Resection of Left Atrial Tumors
Robotic-assisted left atrial tumor resection is feasible and may be associated with a lower incidence of perioperative blood transfusion as well as shorter ventilation time, and shorter ICU and hospital LOS.
Robotically assisted mitral valve replacement.
Critical Outcomes in Nonrobotic vs Robotic-Assisted Cardiac Surgery.
Results of this study support the contention that robotic-assisted surgery is as safe as nonrobotic surgery and offers the surgeon an additional technique for performing cardiac surgery.
Early results of robotically assisted mitral valve surgery: Analysis of the first 1000 cases
Robotic-enhanced coronary surgery in octogenarians.
It is suggested that considering the age and frailty of the octogenarian population, RE-MIDCAB is a feasible and safe procedure which is associated with acceptable mid-term results.
The Leipzig Experience with Robotic Valve Surgery
Robotic‐assisted less invasive mitral valve surgery has evolved to a reliable technique with reproducible results for primary operations and for reoperations.
Totally Endoscopic Atrial Septal Defect Repair With Robotic Assistance
This technique represents an option for patients seeking a reliable ASD repair but wishing to avoid sternotomy or thoracotomy, and can be utilized to perform open heart procedures safely and effectively via totally endoscopic approaches.