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Robotically assisted coronary artery bypass grafting: a systematic review and meta‐analysis
Author(s) -
Buehler Anna M.,
Ferri Cleusa,
Flato Uri A. P.,
Fernandes Jefferson G.
Publication year - 2015
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1611
Subject(s) - bypass grafting , meta analysis , artery , medicine , computer science , cardiology
Background It remains uncertain as to whether robotically assisted coronary bypass surgery (RACBS) is superior to non‐robotic procedures. Methods Literature searches were conducted using MEDLINE, EMBASE and LILACS. Two review authors independently screened citations, assessed trial quality and performed data extraction. Results Three trials met the inclusion criteria. None was randomized. Compared with non‐robotic approaches, RACBS was associated with longer surgical times, shorter intensive care unit and hospital stays, higher extubation rates and lower odds for atrial fibrillation as well as myocardial infarction. There were no differences for the odds of stroke and mortality between the interventions. Conclusions Although robotic‐assisted coronary bypass appears to be promising, the study designs were not adequate and may have a high risk of selection bias. There is a need for randomized trials to corroborate the findings and to determine the long‐term benefits of RACBS compared with traditional surgical approaches. Copyright © 2014 John Wiley & Sons, Ltd.