Cargando…
The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB
Background: Minimally invasive direct coronary artery bypass (MIDCAB) has been revived with new techniques and hybrid procedures for MIDCAB and percutaneous coronary intervention (PCI). We reviewed the midterm results of MIDCAB with a three-dimensional (3D) endoscope in our institution. Methods: Of...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698716/ https://www.ncbi.nlm.nih.gov/pubmed/30842359 http://dx.doi.org/10.5761/atcs.oa.18-00254 |
_version_ | 1783444600879316992 |
---|---|
author | Endo, Yuki Nakamura, Yoshitsugu Kuroda, Miho Ito, Yujiro Hori, Takaki |
author_facet | Endo, Yuki Nakamura, Yoshitsugu Kuroda, Miho Ito, Yujiro Hori, Takaki |
author_sort | Endo, Yuki |
collection | PubMed |
description | Background: Minimally invasive direct coronary artery bypass (MIDCAB) has been revived with new techniques and hybrid procedures for MIDCAB and percutaneous coronary intervention (PCI). We reviewed the midterm results of MIDCAB with a three-dimensional (3D) endoscope in our institution. Methods: Of the 359 patients who underwent off-pump coronary artery bypass grafting (CABG) from December 2013 to March 2017, 54 had MIDCAB with the left internal thoracic artery (LITA) to left anterior descending (LAD) artery through a small left thoracotomy with a 3D endoscope. The same intercostal space was used for the main surgical incision and the insertion site of the 3D endoscope. In all, 22 patients had hybrid coronary revascularization (HCR), combined PCI and MIDCAB. Results: There was no operative death. One patient had cerebral infarction without disability. No cases showed significant increases in CKMB. In all, 34 patients commenced ambulation on postoperative day 1. The postoperative hospital stay was 9.1 ± 5.0 days. In total, 37 patients had coronary computed tomography (CT), and their patency of LITA was 100%. In HCR, there was no mortality and major adverse cardiovascular event (MACE). Target lesion revascularization among 12 months was 1.6%. Conclusion: The midterm results of MIDCAB with 3D endoscope-assisted LITA harvesting were satisfactory. MIDCAB, including HCR, is a good alternative for selected high-risk patients. |
format | Online Article Text |
id | pubmed-6698716 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-66987162019-08-19 The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB Endo, Yuki Nakamura, Yoshitsugu Kuroda, Miho Ito, Yujiro Hori, Takaki Ann Thorac Cardiovasc Surg Original Article Background: Minimally invasive direct coronary artery bypass (MIDCAB) has been revived with new techniques and hybrid procedures for MIDCAB and percutaneous coronary intervention (PCI). We reviewed the midterm results of MIDCAB with a three-dimensional (3D) endoscope in our institution. Methods: Of the 359 patients who underwent off-pump coronary artery bypass grafting (CABG) from December 2013 to March 2017, 54 had MIDCAB with the left internal thoracic artery (LITA) to left anterior descending (LAD) artery through a small left thoracotomy with a 3D endoscope. The same intercostal space was used for the main surgical incision and the insertion site of the 3D endoscope. In all, 22 patients had hybrid coronary revascularization (HCR), combined PCI and MIDCAB. Results: There was no operative death. One patient had cerebral infarction without disability. No cases showed significant increases in CKMB. In all, 34 patients commenced ambulation on postoperative day 1. The postoperative hospital stay was 9.1 ± 5.0 days. In total, 37 patients had coronary computed tomography (CT), and their patency of LITA was 100%. In HCR, there was no mortality and major adverse cardiovascular event (MACE). Target lesion revascularization among 12 months was 1.6%. Conclusion: The midterm results of MIDCAB with 3D endoscope-assisted LITA harvesting were satisfactory. MIDCAB, including HCR, is a good alternative for selected high-risk patients. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2019-03-07 2019 /pmc/articles/PMC6698716/ /pubmed/30842359 http://dx.doi.org/10.5761/atcs.oa.18-00254 Text en ©2019 Annals of Thoracic and Cardiovascular Surgery http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Original Article Endo, Yuki Nakamura, Yoshitsugu Kuroda, Miho Ito, Yujiro Hori, Takaki The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB |
title | The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB |
title_full | The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB |
title_fullStr | The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB |
title_full_unstemmed | The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB |
title_short | The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB |
title_sort | utility of a 3d endoscope and robot-assisted system for midcab |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698716/ https://www.ncbi.nlm.nih.gov/pubmed/30842359 http://dx.doi.org/10.5761/atcs.oa.18-00254 |
work_keys_str_mv | AT endoyuki theutilityofa3dendoscopeandrobotassistedsystemformidcab AT nakamurayoshitsugu theutilityofa3dendoscopeandrobotassistedsystemformidcab AT kurodamiho theutilityofa3dendoscopeandrobotassistedsystemformidcab AT itoyujiro theutilityofa3dendoscopeandrobotassistedsystemformidcab AT horitakaki theutilityofa3dendoscopeandrobotassistedsystemformidcab AT endoyuki utilityofa3dendoscopeandrobotassistedsystemformidcab AT nakamurayoshitsugu utilityofa3dendoscopeandrobotassistedsystemformidcab AT kurodamiho utilityofa3dendoscopeandrobotassistedsystemformidcab AT itoyujiro utilityofa3dendoscopeandrobotassistedsystemformidcab AT horitakaki utilityofa3dendoscopeandrobotassistedsystemformidcab |