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Propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement
To compare early and medium-term outcomes between robotic and sternotomy approaches for mitral valve replacement (MVR). Clinical data of 1393 cases who underwent MVR between January 2014 and January 2023 were collected and stratified into robotic MVR (n = 186) and conventional sternotomy MVR (n = 12...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer London
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492871/ https://www.ncbi.nlm.nih.gov/pubmed/37423965 http://dx.doi.org/10.1007/s11701-023-01665-0 |
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author | Yan, Wenlong Wang, Yangyang Wang, Wei Wang, Qingjiang Zheng, Xin Yang, Sumin |
author_facet | Yan, Wenlong Wang, Yangyang Wang, Wei Wang, Qingjiang Zheng, Xin Yang, Sumin |
author_sort | Yan, Wenlong |
collection | PubMed |
description | To compare early and medium-term outcomes between robotic and sternotomy approaches for mitral valve replacement (MVR). Clinical data of 1393 cases who underwent MVR between January 2014 and January 2023 were collected and stratified into robotic MVR (n = 186) and conventional sternotomy MVR (n = 1207) groups. The baseline data of the two groups of patients were corrected by the propensity score matching (PSM) method. After matching, the baseline characteristics were not significant different between the two groups (standardized mean difference < 10%). Moreover, the rates of operative mortality (P = 0.663), permanent stroke (P = 0.914), renal failure (P = 0.758), pneumonia (P = 0.722), and reoperation (P = 0.509) were not significantly different. Operation, CPB and cross-clamp time were shorter in the sternotomy group. On the other hand, ICU stay time, post-operative LOS, intraoperative transfusion, and intraoperative blood loss were shorter or less in the robot group. Operation, CPB, and cross-clamp time in robot group were all remarkably improved with experience. Finally, all-cause mortality (P = 0.633), redo mitral valve surgery (P = 0.739), and valve-related complications (P = 0.866) in 5 years of follow-up were not different between the two groups. Robotic MVR is safe, feasible, and reproducible for carefully selected patients with good operative outcomes and medium-term clinical outcomes. |
format | Online Article Text |
id | pubmed-10492871 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer London |
record_format | MEDLINE/PubMed |
spelling | pubmed-104928712023-09-11 Propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement Yan, Wenlong Wang, Yangyang Wang, Wei Wang, Qingjiang Zheng, Xin Yang, Sumin J Robot Surg Research To compare early and medium-term outcomes between robotic and sternotomy approaches for mitral valve replacement (MVR). Clinical data of 1393 cases who underwent MVR between January 2014 and January 2023 were collected and stratified into robotic MVR (n = 186) and conventional sternotomy MVR (n = 1207) groups. The baseline data of the two groups of patients were corrected by the propensity score matching (PSM) method. After matching, the baseline characteristics were not significant different between the two groups (standardized mean difference < 10%). Moreover, the rates of operative mortality (P = 0.663), permanent stroke (P = 0.914), renal failure (P = 0.758), pneumonia (P = 0.722), and reoperation (P = 0.509) were not significantly different. Operation, CPB and cross-clamp time were shorter in the sternotomy group. On the other hand, ICU stay time, post-operative LOS, intraoperative transfusion, and intraoperative blood loss were shorter or less in the robot group. Operation, CPB, and cross-clamp time in robot group were all remarkably improved with experience. Finally, all-cause mortality (P = 0.633), redo mitral valve surgery (P = 0.739), and valve-related complications (P = 0.866) in 5 years of follow-up were not different between the two groups. Robotic MVR is safe, feasible, and reproducible for carefully selected patients with good operative outcomes and medium-term clinical outcomes. Springer London 2023-07-09 2023 /pmc/articles/PMC10492871/ /pubmed/37423965 http://dx.doi.org/10.1007/s11701-023-01665-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Yan, Wenlong Wang, Yangyang Wang, Wei Wang, Qingjiang Zheng, Xin Yang, Sumin Propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement |
title | Propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement |
title_full | Propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement |
title_fullStr | Propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement |
title_full_unstemmed | Propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement |
title_short | Propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement |
title_sort | propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492871/ https://www.ncbi.nlm.nih.gov/pubmed/37423965 http://dx.doi.org/10.1007/s11701-023-01665-0 |
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