Shortening the Learning Curve in Robotic Mitral Valve Surgery: The Importance of Mentorship
Presented During:
Thursday, May 4, 2023: 6:30PM - Saturday, May 6, 2023: 2:29AM
New York Hilton Midtown
Posted Room Name:
Grand Ballroom Foyer
Abstract No:
MP061
Submission Type:
Abstract Submission
Authors:
Asad Shah (1), William Fazzalaro (1), Heather Homampour (1), James Hemp (2)
Institutions:
(1) Hoag Memorial Hospital Presbyterian, Newport Beach, CA, (2) Scripps Mercy San Diego, Coronado, CA
Submitting Author:
Asad Shah
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Hoag Memorial Hospital Presbyterian
Hoag Memorial Hospital Presbyterian
Co-Author(s):
William Fazzalaro
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Hoag Memorial Hospital Presbyterian
Hoag Memorial Hospital Presbyterian
Heather Homampour
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Hoag Memorial Hospital Presbyterian
Hoag Memorial Hospital Presbyterian
James Hemp
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Scripps Mercy San Diego
Scripps Mercy San Diego
Presenting Author:
Asad Shah
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Abstract:
Objective: Learning robotic cardiac surgery is difficult, and the optimal pathways to do so are not well-defined. The objectives of this study were to (1) describe a process for quickly and successfully learning robotic mitral valve surgery and (2) share critical learning points acquired during the first series of operations, to ultimately help other surgeons who are interested in learning robotic mitral valve surgery.
Methods: The required Intuitive training courses were completed, and two cases performed by the mentor were observed. The mentor was present for 8 of the first 10 cases performed by the primary surgeon; thereafter, mentorship continued virtually on an as-needed basis (Table 1). STS data on all robotic mitral valve surgeries performed by a single surgeon between 10/2020-12/2022 was retrospectively reviewed.
Results: Of 46 robotic cardiac operations performed during the study period, 20 were mitral valve repairs and 4 were planned mitral valve replacements. There were no operative or late mortalities, strokes, renal failures, reoperations for bleeding, or prolonged ventilations. One patient required conversion to sternotomy and also cauterization of a liver injury. Median length of hospital stay was 4 days. There was one readmission. For the 20 mitral repair patients, 13 had no MR at and 7 had trace MR during follow-up.
Conclusions: In this single-center descriptive report, with close mentorship from an experienced robotic surgeon, learning to perform robotic mitral valve surgery independently with excellent outcomes can be accomplished in a much shorter timeframe than traditionally considered.
Methods: The required Intuitive training courses were completed, and two cases performed by the mentor were observed. The mentor was present for 8 of the first 10 cases performed by the primary surgeon; thereafter, mentorship continued virtually on an as-needed basis (Table 1). STS data on all robotic mitral valve surgeries performed by a single surgeon between 10/2020-12/2022 was retrospectively reviewed.
Results: Of 46 robotic cardiac operations performed during the study period, 20 were mitral valve repairs and 4 were planned mitral valve replacements. There were no operative or late mortalities, strokes, renal failures, reoperations for bleeding, or prolonged ventilations. One patient required conversion to sternotomy and also cauterization of a liver injury. Median length of hospital stay was 4 days. There was one readmission. For the 20 mitral repair patients, 13 had no MR at and 7 had trace MR during follow-up.
Conclusions: In this single-center descriptive report, with close mentorship from an experienced robotic surgeon, learning to perform robotic mitral valve surgery independently with excellent outcomes can be accomplished in a much shorter timeframe than traditionally considered.
Mitral Conclave:
Mitral Valve Education
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