Evidence map›Paper›PMID 30255360›Full record

SynthesisJournal of robotic surgery2019

The role of robotics in cardiac surgery: a systematic review.

Ilias P Doulamis, Eleftherios Spartalis, Nikolaos Machairas, Dimitrios Schizas, Dimitrios Patsouras, Michael Spartalis, Diamantis I Tsilimigras, Demetrios Moris, Dimitrios C Iliopoulos, Aspasia Tzani and 2 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of robotic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Is Robotic-Assisted Bypass Grafting Really Better Than PCI When It Comes to LAD CTO?Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  6. Review
  7. Evaluation of the MMI SymaniJournal of robotic surgery · 2024
    Article
  8. Review
  9. Review
  10. Cardiac myxoma following transcatheter closure of an atrial septal defect.Proceedings (Baylor University. Medical Center) · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Robotic Coronary Revascularization is Feasible and Safe: 10-year Single-Center Experience.Heart views : the official journal of the Gulf Heart Association
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ilias P DoulamisLaboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece. doulamis.i@gmail.com.
Eleftherios SpartalisLaboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.
Nikolaos MachairasHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
Dimitrios SchizasHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
Dimitrios PatsourasLaboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.
Michael SpartalisDivision of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.
Diamantis I TsilimigrasLaboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.
Demetrios MorisDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Dimitrios C IliopoulosLaboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.
Aspasia TzaniLaboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.
Dimitrios DimitroulisHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
Nikolaos I NikiteasLaboratory for Experimental Surgery and Surgical Research "N.S Christeas", Athens Medical School, National and Kapodistrian University of Athens, Agiou Thoma Str, 11b, Goudi, 11527, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The application of robotic technologies in cardiac surgery has provided the possibility for minimally invasive access inside the thorax and avoidance of a median sternotomy. Given that current evidence seems promising, we sought to systematically review the existing literature regarding the efficacy, feasibility and mortality rate associated with robotic cardiac surgery. The PubMed and Cochrane bibliographical databases were thoroughly searched for the following MeSH terms: "robotic", "cardiac surgery" and "heart surgery". Original studies on robotic cardiac surgery in more than ten cases and reporting on the associated peri- or post-operative mortality were deemed eligible. Twenty-eight studies were included and provided data for 5993 patients with a mean age of 59.8 years. Approximately, one out of two patients (49.2%) underwent robotic CABG, while the other half (49.9%) underwent robotic MVR. Robotic atrial septal defect repair and atrial tumor resection were performed in a small proportion (0.9%) of the patients. Mean 30-day mortality was 0.7% ranging from 0 to 0.8% among the different types of surgery, while late mortality was 0.8% ranging from 0 to 1% with a mean follow-up period of 40.1 months. Our findings demonstrate that the application of robotics in cardiac surgery has provided a safe and efficacious alternative to the traditional techniques. However, more trials are necessary to elucidate all of its aspects.

Indexed as

Cardiac Surgical ProceduresCoronary Artery BypassDatabases, BibliographicFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresRobotic Surgical ProceduresTime FactorsTreatment OutcomeEndoscopicRobotically assistedRobotic cardiac surgery

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.