Robotic-assisted coronary artery bypass surgery: an 18-year single-centre experience
| Autor: | Rebecca Barnfield, Reiza Rayman, Mitchell Cooper, Alan H. Menkis, Vincenzo Giambruno, Zarina Markova, Douglas Boyd, Stuart A. Swinamer, Michael W.A. Chu, Stephanie A. Fox, Bob Kiaii |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Biophysics 030204 cardiovascular system & hematology Anastomosis Revascularization 03 medical and health sciences Coronary artery bypass surgery 0302 clinical medicine Robotic Surgical Procedures Medicine Humans Robotic surgery Coronary Artery Bypass Cardiac catheterization Aged business.industry Mortality rate Length of Stay Middle Aged Computer Science Applications Surgery Single centre medicine.anatomical_structure 030228 respiratory system Female business Artery |
| Zdroj: | The international journal of medical robotics + computer assisted surgery : MRCAS. 14(3) |
| ISSN: | 1478-596X |
| Popis: | Background Minimally invasive robot-assisted direct coronary artery bypass (RADCAB) has emerged as a feasible minimally invasive surgical technique for revascularization that might offer several potential advantages over conventional approaches. We present our 18-year experience in RADCAB. Methods Between February 1998 and February 2016, 605 patients underwent RADCAB. Patients underwent post-procedural selective graft patency assessment using cardiac catheterization. Results The mortality rate was 0.3%. The rate of conversion to sternotomy for any cause was reduced from 16.0% of the first 200 cases to 6.9% of the last 405 patients. The patency rate of the LITA-to-LAD anastomosis was 97.4%. Surgical re-exploration for bleeding occurred in 1.8% of patients, and the transfusion rate was 9.2%. Average ICU stay was 1.2 ± 1.4 days, and average hospital stay was 4.8 ± 2.9 days. Conclusions Robot-assisted coronary artery bypass grafting is safe, feasible and it seems to represent an effective alternative to traditional coronary artery bypass grafting in selected patients. |
| Databáze: | OpenAIRE |
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