Top

Published in:

01-09-2015 | Original Article

Quality of life after robotically assisted atrial myxoma excision

Authors: Risto Kesävuori, Peter Raivio, Janne J. Jokinen, Antero Sahlman, Antti Vento

Published in: Journal of Robotic Surgery | Issue 3/2015

Abstract

The aim of this study was to evaluate the clinical outcome after robotically assisted myxoma surgery performed at our institution. Altogether nine patients underwent robotically assisted atrial myxoma excision. A control group was selected from 18 consecutive patients who underwent an isolated atrial myxoma excision via conventional sternotomy. Preoperative patient characteristics were similar between the two study groups. Postoperative health-related quality of life (HRQoL) was also evaluated. All robotic operations were completed successfully using the da Vinci™ telesurgical system. There was no mortality in either of the two study groups. Procedure, cardiopulmonary bypass, aortic occlusion, and ventilation times were shorter in the sternotomy group when compared to the robotic group. Length of stay was statistically significantly shorter in the robotically assisted group. Postoperative quality of life did not differ between the two study groups. We conclude that robotically assisted surgery is a feasible method for treating atrial myxomas.

Currie ME, Romsa J, Fox SA, Vezina WC, Akincioglu C, Warrington JC, McClure RS, Stitt LW, Menkis AH, Boyd WD, Kiaii B (2012) Long-term angiographic follow-up of robotic-assisted coronary artery revascularization. Ann Thorac Surg 93:1426–1431CrossRefPubMed

Deshpande RP, Casselman F, Bakir I, Cammu G, Wellens F, De Geest R, Degrieck I, Van Praet F, Vermeulen Y, Vanermen H (2007) Endoscopic cardiac tumor resection. Ann Thorac Surg 83:2142–2216CrossRefPubMed

Gao C, Yang M, Wang G, Wang J (2008) Totally robotic resection of myxoma and atrial septal defect repair. Interact CardioVasc Thorac Surg 7:947–950CrossRefPubMed

Gao C, Yang M, Wang G, Wang J, Xiao C, Wu Y, Li J (2010) Excision of atrial myxoma using robotic technology. J Thorac Cardiovasc Surg 139:1282–1285CrossRefPubMed

Hassan M, Smith JM (2012) Robotic assisted excision of a left ventricular myxoma. Interact CardioVasc Thorac Surg 14:113–114PubMedCentralCrossRefPubMed

Mihaljevic T, Jarrett CM, Gillinov AM, Williams SJ, DeVilliers PA, Stewart WJ, Svensson LG, Sabik JF 3rd, Blackstone EH (2011) Robotic repair of posterior mitral valve prolapse versus conventional approaches: Potential realized. J Thorac Cardiovasc Surg 141:72–80.e1–4

Mihaljevic T, Paul S, Byrne JG, Leacche M, Farivar RS, Soltesz EG, Rawn JD, Cohn LH (2003) Robotic mammary takedown and off-pump bypass surgery for single-vessel disease of the left anterior descending coronary artery. Am J Cardiol 92:1222–1224CrossRefPubMed

Murphy DA, Miller JS, Langford DA (2005) Robot-assisted endoscopic excision of left atrial myxomas. J Thorac Cardiovasc Surg 130:596–597CrossRefPubMed

Nifong LW, Rodriguez E, Chitwood WR Jr (2012) 540 consecutive robotic mitral valve repairs including concomitant atrial fibrillation cryoablation. Ann Thorac Surg 7(94):38–43CrossRef

10.

Schilling J, Engel AM, Hassan M, Smith JM (2012) Robotic excision of atrial myxoma. J Card Surg 27:423–426CrossRefPubMed

11.

Bonaros N, Schachner T, Wiedemann D, Oehlinger A, Ruetzler E, Feuchtner G, Kolbitsch C, Velik-Salchner C, Friedrich G, Pachinger O, Laufer G, Bonatti J (2009) Quality of life improvement after robotically assisted coronary artery bypass grafting. Cardiology 114:59–66CrossRefPubMed

12.

Morgan JA, Peacock JC, Kohmoto T, Garrido MJ, Schanzer BM, Kherani AR, Vigilance DW, Cheema FH, Kaplan S, Smith CR, Oz MC, Argenziano M (2004) Robotic techniques improve quality of life in patients undergoing atrial septal defect repair. Ann Thorac Surg 77:1328–1333CrossRefPubMed

13.

Suri RM, Antiel RM, Burkhart HM, Huebner M, Li Z, Eton DT, Topilsky T, Sarano ME, Schaff HV (2012) Quality of life after early mitral valve repair using conventional and robotic approaches. Ann Thorac Surg 93:761–769CrossRefPubMed

14.

Aalto AM, Aro AR, Teperi J (1999) RAND-36 as a measure of health-related quality of life. Reliability, construct validity and reference values in the Finnish general population. In: Research Reports (in Finnish with an English summary), vol 101. The National Research and Development Center for Welfare and Health (STAKES), Helsinki, Finland

15.

Russo MJ, Martens TP, Hong KN, Colman DL, Voleti VB, Smith CR Jr, Argenziano M (2007) Minimally invasive versus standard approach for excision of atrial masses. Heart Surg Forum. 10:E50–E54CrossRefPubMed

Title: Quality of life after robotically assisted atrial myxoma excision
Authors: Risto Kesävuori
Peter Raivio
Janne J. Jokinen
Antero Sahlman
Antti Vento
Publication date: 01-09-2015
Publisher: Springer London
Published in: Journal of Robotic Surgery / Issue 3/2015
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-015-0521-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Quality of life after robotically assisted atrial myxoma excision

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2015

Side docking of the da Vinci robotic system for radical prostatectomy: advantages over traditional docking

Augmented reality and cone beam CT guidance for transoral robotic surgery

Laparoscopic radical prostatectomy: continence and oncological outcomes in 268 cases

Robotic versus laparoscopic surgery for mid or low rectal cancer in male patients after neoadjuvant chemoradiation therapy: comparison of short-term outcomes

Concurrent use of a robotic uterine manipulator and a robotic laparoscope holder to achieve assistant-less solo laparoscopy: the double ViKY

Feasibility of joystick guided colonoscopy