We report a bilateral thoracoscopic technique in which robot-assisted mitral valve repair was achieved concomitantly with stapler division of the large left atrial appendage. The patient was a 65-year-old male with severe mitral regurgitation, paroxysmal atrial fibrillation and a large-sized atrial appendage. Closure of the appendage was completed off-pump using a left thoracoscopic stapler-division technique previous to right thoracoscopic robot-assisted mitral valve repair and cryoablation. Complete closure of the appendage was confirmed in thoracoscopic views. The bilateral thoracoscopic technique could be preferable for the minimally invasive treatment of mitral valvular disease and concomitant large-sized atrial appendage management.

中文翻译：

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双侧内窥镜技术用于左心房阑尾切除术和机器人辅助二尖瓣修复。

我们报告了一种双侧胸腔镜技术，其中机器人辅助二尖瓣修复与大左心耳的吻合器分割同时实现。患者为一名 65 岁男性，患有严重的二尖瓣关闭不全、阵发性心房颤动和大型心耳。在右胸腔镜机器人辅助二尖瓣修复和冷冻消融术之前，使用左胸腔镜吻合器分割技术完成附肢的关闭。在胸腔镜视图中证实了附件完全闭合。双侧胸腔镜技术可能更适合二尖瓣疾病的微创治疗和伴随的大型心耳管理。