Clinical Evidence - Cardiothoracic

Cardiothoracic - Clinical Evidence

Publications referenced on this page were conducted on the da Vinci^® Si, da Vinci^® S, and da Vinci^® Standard systems. No publications are currently available for the da Vinci^® Xi system.

Featured Publications

Below are links to featured publications that support the clinical effectiveness of da Vinci® Cardiothoracic Surgery.

Thoracic (3)

2013 Kent M, Wang T, Whyte R, Curran T, Flores R and Gangadharan S "Open, Video-Assisted Thoracic Surgery, and Robotic Lobectomy: Review of a National Database." Annals of Thoracic Surgery.
Online article access

2011 Cerfolio RJ, Bryant AS, Skylizard L and Minnich DJ "Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms." Journal of Thoracic and Cardiovascular Surgery.
Online article access

2011 Dylewski MR, Ohaeto AC and Pereira JF "Pulmonary resection using a total endoscopic robotic video-assisted approach." Seminars in Thoracic and Cardiovascular Surgery 23(1): 36-42.
Online article access

Cardiac (5)

2013 Suri RM, Thompson JE, Burkhart HM, Huebner M, Borah BJ, Li Z, Michelena HI, Visscher SL, Roger VL, Daly RC, Cook DJ, Enriquez-Sarano M and Schaff HV "Improving Affordability Through Innovation in the Surgical Treatment of Mitral Valve Disease." Mayo Clinic Proceedings 88(10): 1075-1084.
Online article access

2012 Suri RM, Antiel RM, Burkhart HM, Huebner M, Li Z, Eton DT, Topilsky T, Sarano ME and Schaff HV "Quality of life after early mitral valve repair using conventional and robotic approaches." Annals of Thoracic Surgery 93(3): 761-769.
Online article access

2011 Suri RM, Burkhart HM, Daly RC, Dearani JA, Park SJ, Sundt TM, 3rd, Li Z, Enriquez-Sarano M and Schaff HV "Robotic mitral valve repair for all prolapse subsets using techniques identical to open valvuloplasty: Establishing the benchmark against which percutaneous interventions should be judged." Journal of Thoracic and Cardiovascular Surgery.
Online article access

2010 Mihaljevic T, Jarrett CM, Gillinov AM, Williams SJ, Devilliers PA, Stewart WJ, Svensson LG, Sabik JF, 3rd and Blackstone EH "Robotic repair of posterior mitral valve prolapse versus conventional approaches: Potential realized." Journal of Thoracic and Cardiovascular Surgery.
Online article access

2008 Chitwood Jr WR, Rodriguez E, Chu MWA, Hassan A, Ferguson TB, Vos PW and Nifong LW "Robotic mitral valve repairs in 300 patients: A single-center experience." Journal of Thoracic and Cardiovascular Surgery 136(2): 436-441.
Online article access

Level of Evidence of Peer-Reviewed Publications

The table below summarizes the level of scientific evidence for the clinical publications related to da Vinci CardioThoracic Surgery. These levels of evidence are adapted from the March 2009 Centre for Evidence Based Medicine levels of evidence.

LEVEL	DESCRIPTION	New in September	Total
Level 1
1a	Systemic reviews of randomized controlled trials		0
1b	Randomized controlled trials		0
1c	Randomized controlled trials for robotic technique studies		0
Level 2
2a	Systematic reviews of only comparison studies and Independent database population studies	1	2
2b	Prospective non-randomized studies and RCTs with N<20		3
Level 3
IIIa	Systematic reviews of mixed studies (comparison and single arm)	1	3
IIIb	Retrospective non-randomized studies and prospective comparison studies with N<20	1	46
Level 4
4a	Literature reviews	1	3
4b	Single arm studies and retrospective comparison studies with N<20	20	230
Level 5	Case reports, Animal and Cadaver studies, Expert Opinion and Editorials	16	568
TOTAL		42	855

Clinical Research for da Vinci® Practitioners

Clinical practitioners of da Vinci Surgery can perform detailed research from the world's largest collection of robotically-assisted surgery abstracts on the da Vinci Surgery Online Community: www.daVinciSurgeryCommunity.com.

This site is open to da Vinci practitioners and personnel only and requires free sign up. Access to the Clinical Research section of the site requires validation, which can take 1-2 business days.
Sign up now to access the da Vinci Surgery database.

To determine whether the FDA has cleared da Vinci Surgical System for use in a specific procedure,
please refer to the Regulatory Clearance page.

PN 1005336 Rev B 2/14

All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures. Serious complications may occur in any surgery, up to and including death. Examples of serious or life-threatening complications which may require hospitalization include injury to tissues or organs, bleeding, infection or internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Risks of surgery also include potential for equipment failure and human error. Risks specific to minimally invasive surgery may include: A long operation and time under anesthesia, conversion to another technique or the need for additional or larger incisions. If your surgeon needs to convert the procedure, it could mean a long operative time with additional time under anesthesia and increased complications. Temporary pain or discomfort may result from pneumoperitoneum, the presence of air or gas in the abdominal cavity used by surgeons in minimally invasive surgery. Research suggests that there could be an increased risk of incision-site hernia with single-incision surgery. Results, including cosmetic results, may vary. Patients who bleed easily, who have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci® Surgery. For more complete information on surgical risks, safety, and indications for use, please refer to http://www.davincisurgery.com/safety/. Patients should talk to their doctors about their surgical experience and to decide if da Vinci Surgery is right for them. Other options may be available. Intuitive Surgical reviews clinical literature from the highest level of evidence available to provide benefit and risk information about use of the da Vinci Surgical System in specific representative procedures. We encourage patients and physicians to review all available information on surgical options and treatment in order to make an informed decision. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed.