Thoracoscopic group Robotic group value(N = 64) (N = 64) Operation time (min, median (IQR)) 300.00 (250.00, 373.75) 210.00(180.00, 240.00) <0.001 CPB time (min, median (IQR)) 123.50 (95.25, 164.50) 74.50 (64.25, 92.00) <0.001 Surgical closure technique 0.244 Pericardial patch 61 (95.3) 64 (100.0) Primary suturing 3 (4.7) 0 (0.0) Concomitant PAPVC repair 2 (3.1) 5 (7.8) 0.453 ICU stay (h, median (IQR)) 22.00 (20.00, 46.00) 19.00 (18.00, 24.00) 0.001 Mechanical ventilation time (h, median (IQR)) 6.75 (4.50, 15.00) 4.00 (3.00, 6.75) 0.02 Postoperative hospital-stay (d, median (IQR)) 9.00 (7.00, 13.00) 8.00 (7.00, 9.00) 0.025 Thoracic drainagea (ml, median (IQR)) 277.50 (151.25, 460.75) 207.50 (101.25, 300.00) 0.001 Total RBC usage (U, median (IQR)) 3.00 (0.00, 4.00) 0.00 (0.00, 0.00) <0.001 Total hospital costs 1.33 (1.13, 1.76) 1.49 (1.34, 1.69) 0.097 (×104 $, median (IQR))