TY - JOUR
T1 - Robotic Coronary artery bypass grafting decreases 30-day complication rate, length of stay, and acute care facility discharge rate compared with conventional surgery
AU - Leyvi, Galina
AU - Forest, Stephen J.
AU - Srinivas, Vankeepuram S.
AU - Greenberg, Mark
AU - Wang, Nan
AU - Mais, Alec
AU - Snyder, Max J.
AU - DeRose, Joseph J.
N1 - Publisher Copyright:
Copyright © 2014 by the International Society for Minimally Invasive Cardiothoracic Surgery.
PY - 2014
Y1 - 2014
N2 - 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.
AB - 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.
KW - Discharge status
KW - Hybrid revascularization
KW - New york state 30-day complication composite
KW - Rapid recovery
KW - Robotic CABG
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U2 - 10.1097/imi.0000000000000095
DO - 10.1097/imi.0000000000000095
M3 - Article
C2 - 25238421
AN - SCOPUS:84964313583
SN - 1556-9845
VL - 9
SP - 361
EP - 367
JO - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
JF - Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
IS - 5
ER -