Comparative Study Of Robotic And Sternotomy Atrial Septal Defect Repair And Ventricular Septal Defect Repair

Objective: To assess the safety,efficacy and recovery conditions of the robotic surgeryby comparing the clinical outcome and post-operative quality of life of the robotic atrialseptal defect repair and ventriculer septal defect repair with sternotomy approachrespectively.Methods: We including170patients underwent atrial septal defect between January2007and January2014using da Vinci S as TEASD-R group, while108patients whoreceived conventional atrial septal defect repair between January2004and January2014as CSASD-R group. Meanwhile,23patients underwent ventricular septal defectbetween January2009and January2014using da Vinci S were selected as TEVSD-Rgroup. and54patients were selected as CSVSD-R group from who receivedconventional ventricular septal defect between January2004and January2014.Compare the operative time, drainage volume, blood transfusion, and incidence ofcomplication between the two groups to assess the safety and efficacy of the roboticsurgery. Furthermore, the time patients return to work or exercise and whether they weresatisfied with their wound were followed and SF-36survey questionnaire were used toevaluate the post-operative quality of life.Results:1The average amounts of post-operative drainage volume,red blood cell,plasma,platelet of the robotic group were less than the sternotomy group(p＜0.05). Theintubation time, ICU stay and post-operative hospital stay were significantly short forthe robotic group in atrial septal defect repair(p＜0.05), but in ventricular septal defectrepair, the difference were not significant(p＞0.05). There were no in-hospital deaths,the incidence of post-operative complication were similar(p＞0.05). 2The quality of life was better for the robotic group on the30thday after operatiion.Patients return to work or exercise ealier in robotic group, they were more satisfactorywith their incision.Conclusions: Repair of atrial septal defect and ventricular defect with the da VinciSurgery System is feasible, efficacious and safe. The quality of life is better, the incisionis more cometic and the mid and long term surgery outcome was excellent.