Robotic Coronary artery bypass grafting decreases 30-day complication rate, length of stay, and acute care facility discharge rate compared with conventional surgery

Galina Leyvi, Stephen J. Forest, Vankeepuram S. Srinivas, Mark Greenberg, Nan Wang, Alec Mais, Max J. Snyder, Joseph J. DeRose

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Objective: The objective of this study was to compare the short-term outcomes of robotic with conventional on-pump coronary artery bypass grafting (CABG). Methods: The study population included 2091 consecutive patients who underwent either conventional or robotic CABG from January 2007 to March 2012. Preoperative, intraoperative, and 30-day postoperative variables were collected for each group. To compare the incidence of rapid recovery between conventional and robotic CABG, the surrogate variables of early discharge and discharge to home (vs rehabilitation or acute care facility) were evaluated. A multivariate logistic regression analysis was used. Results: One hundred fifty robotic and 1619 conventional CABG cases were analyzed.Multivariate logistic regression analysis demonstrated that robotic surgerywas a strong predictor of lower 30-day complications [odds ratio (OR), 0.24;P= 0.005], short length of stay (OR, 3.31;P < 0.001), and decreased need for an acute care facility (OR, 0.55; P = 0.032). In the presence of complications (NewYork StateComplicationComposite), the robotic technique was not associated with a change in discharge status. Conclusions: In this retrospective review, robotic CABG was associated with a lower 30-day complication rate, a shorter length of stay, and a lower incidence of acute care facility discharge than conventional on-pump CABG. It may suggest a more rapid recovery to preoperative status after robotic surgery; however, only a randomized prospective study could confirm the advantages of a robotic approach.

Original languageEnglish (US)
Pages (from-to)361-367
Number of pages7
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume9
Issue number5
DOIs
StatePublished - 2014

Keywords

  • Discharge status
  • Hybrid revascularization
  • New york state 30-day complication composite
  • Rapid recovery
  • Robotic CABG

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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