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Safe implementation of robotic-assisted minimally invasive direct coronary artery bypass: application of learning curves and cumulative sum analysis
CONCLUSIONS: These results suggest that integration of RA-MIDCAB in the surgical landscape can be safely achieved and complication rates can quickly be reduced below those expected in traditional CABG. Collective experience plays a key role in overcoming the learning curve when more complex procedures and cases are introduced.PMID:34422354 | PMC:PMC8339757 | DOI:10.21037/jtd-21-775
Source: Journal of Thoracic Disease - August 23, 2021 Category: Respiratory Medicine Authors: Jef Van den Eynde Hannah Vaesen Bentein Tom Decaluw é Herbert De Praetere MaryAnn C Wertan Francis P Sutter Husam H Balkhy Wouter Oosterlinck Source Type: research

Beating-heart on-pump coronary artery bypass grafting < em > vs. < /em > off-pump coronary artery bypass grafting: a systematic review and meta-analysis
CONCLUSIONS: BH-ONCAB is a safe and comparable alternative to OPCAB in terms of early mortality and late survival. BH-ONCAB may confer particular advantages in preventing incomplete revascularization and allowing more distal anastomoses compared to OPCAB. However, BH-ONCAB was associated with more postoperative complications due to the use of CPB. Future work should focus on larger matched studies and multicenter randomized controlled trials to optimize our surgical revascularization strategies.PMID:34422347 | PMC:PMC8339796 | DOI:10.21037/jtd-21-268
Source: Journal of Thoracic Disease - August 23, 2021 Category: Respiratory Medicine Authors: Yefan Jiang Li Xu Yuqi Liu Bowen Deng Nianguo Dong Si Chen Source Type: research

Minimally invasive and robotic coronary artery bypass grafting-a 25-year review
J Thorac Dis. 2021 Mar;13(3):1922-1944. doi: 10.21037/jtd-20-1535.ABSTRACTDuring the mid-1990s cardiac surgery started exploring minimally invasive methods for coronary artery bypass grafting (CABG) and has over a 25-year period developed highly differentiated and less traumatic operations. Instead of the traditional sternotomy mini-incisions on the chest or ports are placed, surgery on the beating heart is applied, sophisticated remote access heart lung machine systems as well as videoscopic units are available, and robotic technology enables completely endoscopic approaches. This review describes these methods, reports o...
Source: Journal of Thoracic Disease - April 12, 2021 Category: Respiratory Medicine Authors: Johannes Bonatti Stephanie Wallner Ingo Crailsheim Martin Grabenw öger Bernhard Winkler Source Type: research

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