The future of robots in heart surgery

Written by: Mr Paul Modi
Published:
Edited by: Emma McLeod

Surgery is becoming more advanced every year with robotic surgery providing very promising improvements to patients’ procedures. Regarding heart surgery, clear benefits are already identified and surgeons, such as consultant cardiothoracic surgeon Mr Paul Modi, are leading the way in providing this innovative robotic heart surgery to patients. Read on for his explanation on the future of robots in heart surgery and the benefits they provide.

Surgeons standing around a patient during surgery

Is robotic heart surgery invasive?

As of 2020, totally endoscopic robotic heart surgery using the Da Vinci robot, created by Intuitive Surgical, is the very least invasive form of cardiac surgical treatment. It can be used to repair the mitral valve (the valve that pumps blood to the left side of the heart) or to treat single-vessel coronary disease in the LAD (left anterior descending) with the LIMA (left internal mammary) arteries. With this machine, surgeons can perform heart surgery through tiny incisions of 8mm diameter (image below).

Image of Mr Paul Modi's patient - the left half shows a patient's body during procedure, the right shows after recovery
Mr Modi's patient during heart surgery (left) and after recovery (right)

How does robotic surgery benefit patients?

The benefits of robotic surgery over conventional surgery through the sternum (sternotomy) are significant:

  • Less pain
  • Fewer infections
  • Hospital stays are often only 2-3 days
  • Patients can return to normal activities much faster

 

What’s more, these benefits accrue without sacrificing the quality and durability of conventional surgery. However, this is expensive technology and can only really be justified in centres with a high volume of patients and for surgeons with a high volume of cases.

 

How fast is robotic surgery advancing?

The US has seen the greatest uptake of robotic cardiac surgery. This is likely due to the competitive nature of their healthcare system: almost all the major centres (e.g.Cleveland Clinic, Mayo Clinic, Emory etc.) have flourishing robotic programmes. Robotic cardiac surgery in Europe is making a resurgence with a steep increase in the annual number of cases as new centres take up this pioneering technology.

 

What does the future hold?

The coming years are also likely to see an increase in the number of non-robotic minimally invasive transcatheter mitral procedures. These often reduce mitral regurgitation (the leakage of blood backward through the mitral valve), rather than stopping it completely, and data suggests durability is inferior to robotic heart surgery. The attraction of all transcatheter techniques is a lack of invasion and speed of recovery. Nevertheless, for something that takes only a little longer to recover from, but has proven quality and durability, robotic mitral reconstruction will be hard to beat.

 

Get in touch with Mr Modi, a world-renowned heart surgeon, by clicking here.

By Mr Paul Modi
Cardiothoracic surgery

Mr Paul Modi is a world-leading consultant cardiac surgeon who specialises in minimally invasive and robotic mitral valve and atrial fibrillation surgery, robotic and off pump coronary artery bypass surgery and minimally invasive myxoma surgery. He is one of only a small number of surgeons in the UK who performs minimally invasive mitral valve and atrial fibrillation surgery and is currently the only British heart surgeon performing robotic mitral valve repair and robot-assisted coronary artery surgery. He was the first surgeon in the UK to perform totally endoscopic robotic mitral valve repair.

Mr Modi graduated from Leeds University in 1994 and soon after became a Fellow of the Royal College of Surgeons of England. He then spent two years as a British Heart Foundation research fellow at Bristol University before being awarded the prestigious Doctorate in Medicine (MD) in 2003 for research into ways of better protecting childrens' hearts during open-heart surgery. 

Mr Modi trained in cardiothoracic surgery in the UK, before spending a year as a clinical instructor (consultant/attending surgeon) in the USA, where he worked alongside Dr Randolph Chitwood Jr. at East Carolina Heart Institute, learning minimally invasive and robotic cardiac valvular surgery, and atrial fibrillation surgery techniques. Uniquely, he was also trained by Dr Doug Murphy, the current world lead in robotic mitral valve surgery in Atlanta, USA.

Mr Modi went on to complete super-specialist training in minimally invasive valve and robotic coronary surgery with Dr Sam Balkhy in Chicago, USA, Professor Frederich Mohr in Leipzig, Germany, and with Dr Hugo Vanermen in Aalst, Belgium.

Mr Modi currently works at the Liverpool Heart and Chest Hospital, the second biggest specialist centre for cardiac surgery in the UK, where he brings with him the pioneering techniques that he learned overseas.

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Overall assessment of their patients


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