• What does the automated perfor...

Treffer: What does the automated performance metric "console time" tell in robotically assisted mitral valve repair?

Title:
What does the automated performance metric "console time" tell in robotically assisted mitral valve repair?
Authors:
Kobayashi K; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Guo Y; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Amabile A; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Devineni N; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Rubino TE Jr; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Winter M; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Jackson A; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Ding J; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Waterford SD; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., West D; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Kaczorowski D; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Sultan I; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA., Bonatti J; Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA. johannesbonatti@gmail.com.
Source:
Journal of robotic surgery [J Robot Surg] 2025 Dec 01; Vol. 20 (1), pp. 50. Date of Electronic Publication: 2025 Dec 01.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: Springer Country of Publication: England NLM ID: 101300401 Publication Model: Electronic Cited Medium: Internet ISSN: 1863-2491 (Electronic) Linking ISSN: 18632483 NLM ISO Abbreviation: J Robot Surg Subsets: MEDLINE
Imprint Name(s):
Original Publication: London : Springer
MeSH Terms:
Robotic Surgical Procedures*/methods , Robotic Surgical Procedures*/statistics & numerical data , Mitral Valve*/surgery , Operative Time* , Cardiac Surgical Procedures*/methods, Humans ; Male ; Female ; Middle Aged ; Aged ; Cardiopulmonary Bypass ; Length of Stay/statistics & numerical data ; Time Factors ; Treatment Outcome
References:
Chitwood WR Jr, Nifong LW, Elbeery JE et al (2000) Robotic mitral valve repair: trapezoidal resection and prosthetic annuloplasty with the Da Vinci surgical system. J Thorac Cardiovasc Surg 120(6):1171–1172. (PMID: 10.1067/mtc.2000.11017711088044)
Bonatti J, Schachner T, Bernecker O (2004) Robotic totally endoscopic coronary artery bypass: program development and learning curve issues. J Thorac Cardiovasc Surg 127(2):504–10. (PMID: 10.1016/j.jtcvs.2003.09.00514762361)
Loulmet DF, Ranganath NK, Neuburger PJ et al (2019) Can complex mitral valve repair be performed with robotics? An institution’s experience utilizing a dedicated team approach in 500 patients†. Eur J Cardiothorac Surg 56(3):470–478. (PMID: 10.1093/ejcts/ezz02930753381)
Kobayashi K, Guo Y, Rubino TE Jr et al (2024) Feasibility, safety and quality of complex mitral valve repair in the early phase of a robotic surgery programme. Interdiscip Cardiovasc Thorac Surg 39(5):ivae182. (PMID: 3955860911580678)
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Gillinov M, Burns DJP, Wierup P (2020) The 10 commandments for mitral valve repair. Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 15(1):4–10. (PMID: 10.1177/155698451988387531903872)
Ashraf SF, Hasan I, Seese L et al (2023) Robotically assisted mitral valve repair—resectional techniques. J Vis Surg 9:33.
Ghasemi A, Zahediasl S (2012) Normality tests for statistical analysis: a guide for non-statisticians. Int J Endocrinol Metab 10(2):486–489. (PMID: 10.5812/ijem.3505238438083693611)
Lumley T, Diehr P, Emerson S, Chen L (2002) The importance of the normality assumption in large public health data sets. Annu Rev Public Health 23:151–169. (PMID: 10.1146/annurev.publhealth.23.100901.14054611910059)
Loulmet DF, Grossi EA (2024) Two decades of experience with robotic mitral valve repair: what have we learned? JTCVS Tech 24:76–81. (PMID: 10.1016/j.xjtc.2024.01.0143883558111145349)
Yang MZ, Lai RC, Abbas AE et al (2021) Learning curve of robotic portal lobectomy for pulmonary neoplasms: a prospective observational study. Thorac Cancer 12(9):1431–1440. (PMID: 10.1111/1759-7714.13927337095718088972)
Yamazaki K, Toyokawa G, Kozuma Y et al (2021) Cumulative experience of the anterior approach in robot-assisted thoracic surgery for lung cancer patients. J Thorac Dis 13(9):5487–5495. (PMID: 10.21037/jtd-21-821346598158482325)
Chou NK, Wang YC, Huang CH et al (2022) Robotic mitral valve repair in National Taiwan university hospital: 10-year results. Ann Cardiothorac Surg 11(6):605–613. (PMID: 10.21037/acs-2022-rmvs-29364836179723526)
Contributed Indexing:
Keywords: Automated performance metrics; Mitral valve surgery; Robotic surgery
Entry Date(s):
Date Created: 20251201 Date Completed: 20251201 Latest Revision: 20251201
Update Code:
20251201
DOI:
10.1007/s11701-025-03002-z
PMID:
41324791
Database:
MEDLINE

Weitere Informationen

Console time is one of the automated performance metrics (APM) recorded by the robot software during robotic cardiac surgery. Little is known about what this APM predicts in cardiac surgery. This study aimed to evaluate factors associated with console time during robotically assisted mitral valve repair (raMVR). A total of 150 patients underwent raMVR from 7/2021 to 12/2024. Console time and related APMs were extracted from robotic system logs. Correlation analysis, multivariable linear regression, and multivariate analysis of variance (MANOVA) were used to assess associations between console time and pre-, intra-, and post-operative outcomes. Mean console time was 123.2 ± 47.0 min. Console time correlated with body mass index (r = 0.22, p = 0.01), cardiopulmonary bypass (CPB) time (r = 0.50, p < 0.001), aortic cross-clamp (ACC) time (r = 0.60, p < 0.001), and hospital stay (r = 0.24, p = 0.003). Console time was longer with bileaflet prolapse (p = 0.003), annular calcification (p = 0.01), leaflet calcification (p = 0.04), complex repair (p < 0.001), transfusion (p = 0.01) and reoperation for bleeding (p = 0.005). Multivariable regression identified decalcification (B = + 78.6 min, p < 0.001), ACC time (p < 0.001), CPB time (p = 0.02), leaflet resection combined with neochords (p = 0.01), and annular calcification (p = 0.03) as independent predictors. MANOVA showed console time tertiles were significantly associated with postoperative outcomes (Wilks' lambda = 0.86, p = 0.02). Patients in the lowest and middle tertile were more likely to be extubated in the operating room (p < 0.001). Console time reflects procedural complexity and operative intensity in raMVR. As an automated, objective metric, it may serve as a valuable tool for intra-operative assessment, surgical planning, and early outcome prediction in robotic cardiac programs.
(© 2025. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.)

Declarations. Competing interests: The authors declare no competing interests. Ethics approval: This study was approved by the University of Pittsburgh Institutional Review Board (IRB number 21080141). Consent to participate: Written patients informed consent was obtained.