• Giovanni Albano, Alfonso Agnino, Matteo Parrinello, Claudio Roscitano, Maurizio Cecconi, Ascanio Graniero, Valentina Grazioli, and Lorenzo Peluso.
• Department of Anesthesia and Intensive Care, Humanitas Gavazzeni, Via M. Gavazzeni, 21, 24125, Bergamo, Italy.
• J. Cardiothorac. Vasc. Anesth. 2024 Sep 1; 38 (9): 199620011996-2001.

ObjectiveThe current work was designed to evaluate whether robotic-assisted mitral valve surgery is associated with a different incidence of early postoperative complications compared with the traditional minimally invasive approach.DesignA retrospective monocentric cohort study was conducted.SettingThe study was performed in an academic hospital.ParticipantsA total of 375 patients who underwent standard thoracoscopic minimally invasive mitral valve surgery and robotic-assisted mitral valve surgery between April 2014 and November 2022 were enrolled.InterventionNone.Measurements And Main ResultsAfter adjustment using propensity score analysis, 98 patients from each group were identified. Patients who underwent robotic surgery presented a similar rate of early complications to patients undergoing minimally invasive surgery. Nevertheless, they showed shorter intensive care unit and postoperative hospital stays. Finally, patients undergoing robotic-assisted surgery were more frequently discharged home.ConclusionsThis study identified a similar incidence of early complications in robotic-assisted mitral valve surgery compared with minimally invasive mitral valve surgery; conversely, patients receiving robotic-assisted surgery were discharged earlier, and more frequently discharged home.Copyright © 2024 Elsevier Inc. All rights reserved.

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