Cardiac surgery using a single thoracic port—current status and future directions

Gallego-Poveda, Javier; Guerra, Nuno; González-Rivas, Diego; Carvalheiro, Catarina; Ferreira, Hugo; Sena, André; Junqueira, Nádia; Velho, Tiago; Nobre, Ângelo

doi:10.21037/jtd.2017.02.07

Cited by 3 publications

(8 citation statements)

References 12 publications

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“…The results suggest that MICS is associated with the potential benefit of improved cosmesis, less pain, shorter recovery duration, and faster return to normal activities, without compromising the safety of the procedure [ 12 , 13 ]. Furthermore, MICS has been used in the treatment of various cardiac lesions, and has become the preferred treatment standard in some heart centers [ 14 – 17 ]. MICS is becoming important in the field of cardiac surgery, and be applied globally.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Cardiac Surgery in China: Multi-Center Experience

et al. 2018

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BackgroundTo the best of our knowledge, there is no nationwide data available on the development of minimally invasive cardiac surgery (MICS) in China. The purpose of this study was to report the results of MICS in 6 experienced centers in China.Material/MethodsFrom September 2014 to July 2016, 1241 patients with cardiac conditions who underwent MICS procedures were randomly enrolled in 6 centers in China, and those patients were randomly selected for inclusion in this study. The MICS procedures were defined as any cardiac surgery performed through a less invasive incision, rather than a complete median sternotomy, mainly including mini-incision surgery (400, 32.2%), video-assisted approach (265, 21.3%), completely thoracoscopic approach without robotic assistance (504, 40.6%), and robotic procedure (55, 4.4%).ResultsThe 5 most common in-hospital complications were respiratory failure (28, 2.3%), reoperation for all reasons (19, 1.5%), renal failure (11, 0.9%), heart failure (9, 0.7%), and stroke (6, 0.5%). The multivariate logistic regression analysis results showed that cardiopulmonary bypass (CPB) time (P=0.033), aortic cross-clamp time (P=0.003), cannulation approach (P=0.010), and left ventricular ejection fraction (LVEF) (P=0.003) at baseline were all significant risk factors of any in-hospital complication of MICS procedures.ConclusionsFrom our experience, minimally invasive cardiac approaches are safe and reproducible, with acceptable CPB and aortic cross-clamp time duration and low mortality.

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Section: Introductionmentioning

confidence: 99%

Minimally Invasive Cardiac Surgery in China: Multi-Center Experience

et al. 2018

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“…Since its inception cardiac surgery has been performed with sternotomy which is usually accompanied with pain, not really aesthetic and prone to life threatening infections. The incidence of deep sternal wound infection is 0.5-6% and related hospital mortality is 7-35 % [1]. There is also a possibility of sternal instability without an accompanying infection [2].…”

Section: Discussionmentioning

confidence: 99%

“…Carpentier and Mohr performed the first total robotic mitral valve repair in 1998 [2]. With these first approaches many minimal invasive incisions were postulated; J, inverted J, T, inverted T, V shaped inferior and superior partial sternotomies, right parasternal incision, right and left mini thoracotomy, right infra axiliary thoracotomy [1,2]. With the encouragement of the minimal invasive surgery improvements were made to minimize the inflammatory effects of extracorporeal circulation, the cannulas were made smaller, and carbon dioxide was employed to the surgical field to lessen the occurrence of air embolism.…”

Section: Discussionmentioning

confidence: 99%

“…Minimally invasive cardiac surgery, which is considered to overcome the well-known problems of median sternotomy, is a standard method that has proven its reliability and effectiveness over the 27 years since it started in 1996 [1]. Axiliary, infraaxiliary, right and left anterior minithoracotomy, superior and inferior partial sternotomy, and subxyphoid incisions have been defined for access to the mediastinum.…”

Section: Introductionmentioning

confidence: 99%

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Ageless window in minimally invasive cardiac surgery: Periareolar incision

Muduroglu

2023

jbm

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To present the experiences and outcomes in patients who underwent minimally invasive cardiac surgery via periareolar incision. Methods: A total of 17 patients who underwent minimally invasive cardiac surgery via periareolar incision were included in the study. Patients' demographic data such as age and gender, diagnosis, type of procedure, postoperative complications and outcomes were recorded and retrospectively reviewed. Results: In the study population, 11 patients (64.7%) were female and 6 patients (35.3%) were male. The mean age of the patients was 57.6±16.3 years. In a patient with very large breast, the surgical incision was converted from periareolar to submammary incision due to poor exposure. Mortality occurred in one patients due to vasoplegic syndrome. Conclusion:The present analysis revealed that periareolar incision was a safe, effective and cosmetically satisfactory method for patients undergoing minimally invasive cardiac surgery.

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“…Reducing surgical trauma is one of the obvious ways to reduce perioperative risks and improve surgical techniques [1][2][3], which is also very positively perceived by patients [4,5]. At the same time, less traumatic techniques are accepted for use only if the therapeutic goal is effectively achieved with a reliable result, preferably remote [6,7].…”

Section: Introductionmentioning

confidence: 99%

Tactical and technical aspects of minimally invasive left internal mammary artery – left anterior descending artery bypass and hybrid coronary revascularization on its basis

Pyetkov

Polivenok

Skibo

et al. 2020

ScienceRise: Medical Science

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Reducing surgical trauma is one of the obvious ways of reducing perioperative risks and improving surgical techniques, which is also very positively perceived by patients. Hybrid coronary revascularization (HCR) is one of the ways of minimizing surgical trauma during coronary revascularization. Objectives: to note the tactical and technical aspects of the minimally invasive left internal mammary artery-left anterior descending artery bypass (mini-LIMA-LAD) and HCR, which allow benefiting from these techniques of myocardial revascularization over the traditional ones. Materials and methods: Between 2011 and 2019, 39 mini-LIMA-LAD operations were performed at the SI "V. T. Zaycev IGUS NAMSU". The average age of patients was 60.6±8.2 years, 5 (13 %) of patients were female. In nine patients mini-LIMA-LAD was the first (in eight) or second (in one) stage of the planned HCR. Results and discussion: There were no perioperative deaths, myocardial infarctions or conversions. At a median follow-up time of 49.5 [Q1; Q3: 34.3; 70.6] months one patient died 13 months after surgery. Four patients had angina recurrences at different times. The article discusses the tactical and technical aspects of mini-LIMA-LAD and HCR, which allow benefiting from these techniques of myocardial revascularization over the traditional ones. Conclusions: Mini-LIMA-LAD and HCR on its basis are a low-traumatic alternative to traditional coronary bypass through sternotomy with acceptable early and long-term results. They have a much better cosmetic effect, especially for women, but are more demanding in surgical technique and tissue handling. The strategy of coronary revascularization described, unlike other less traumatic techniques, does not require expensive additional equipment and can be performed by regular means

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Cardiac surgery using a single thoracic port—current status and future directions

Cited by 3 publications

References 12 publications

Minimally Invasive Cardiac Surgery in China: Multi-Center Experience

Minimally Invasive Cardiac Surgery in China: Multi-Center Experience

Ageless window in minimally invasive cardiac surgery: Periareolar incision

Tactical and technical aspects of minimally invasive left internal mammary artery – left anterior descending artery bypass and hybrid coronary revascularization on its basis

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